Gilmer Drug Company Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GILMER DRUG COMPANY INC.

Practice address

413 19TH Street Ensley
Ensley
Birmingham, AL 35218-1601

Phone

(205) 787-4671

Fax

(205) 788-0450

NPI assigned

Jan 16, 2007

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Ratcliff

Title

Pharmacist in Charge

Phone

(318) 376-4530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Wallace, PHARMD, RPH

  • Pharmacist
  • Birmingham, AL
  • NPI 1669960795
  NPD
• James Rowe Crane Jr., R. PH.

  • Pharmacist
  • Birmingham, AL
  • NPI 1861496523
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1093866030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 19TH STREET ENSLEY",
            "address_2": "ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352181601",
            "telephone_number": "205-787-4671",
            "fax_number": "205-788-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 19TH STREET ENSLEY",
            "address_2": "ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352181601",
            "telephone_number": "205-787-4671",
            "fax_number": "205-788-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER DRUG COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "RATCLIFF",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-376-4530"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000189",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Hope Warf Gilliam, MD
• Carly Gilliland
• Joseph Daniel Gillis, RN, BSN
• David Gillock
• Mary Jane Richman Gillum, CRNP
• Mary Elizabeth Gilmer, MD
• Logan Gilmore
• Shawna Marie Gilmore, RPT
• Carla Gilroy, PHARM.D.
• Abigail Joyce Gingerich, CRNP

• Community/Retail Pharmacy in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.