Active NPI
Total Skin & Beauty Pharmacy LLC
- Community/Retail Pharmacy
- Birmingham, AL
National Provider Identifier
1104101468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 113818
- Legal business name
- TOTAL SKIN & BEAUTY PHARMACY LLC
- Practice address
- 2100 16TH Ave S Ste 112
Birmingham, AL 35205-5021 - Phone
- (205) 380-6170
- Fax
- (205) 380-6172
- NPI assigned
- Oct 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Krell
- Title
- Owner
- Phone
- (205) 533-9112
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 113818 | AL | Primary |
Addresses
Primary practice location
2100 16TH Ave S Ste 112
Birmingham, AL 35205-5021
Mailing address
1620 W Northwest Hwy
Suite 100
Grapevine, TX 76051-3177
Phone (817) 572-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132380 | Other | PK |
Other names 1
- Total Skin & Beauty Pharmacy
National Provider Directory
National Provider DirectoryLocations
2100 16th Ave S
Ste 112
Birmingham, AL 35205
Phone (205) 380-6170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Birmingham, AL
- NPI 1619173911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1104101468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W NORTHWEST HWY",
"address_2": "SUITE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513177",
"telephone_number": "817-572-0009",
"fax_number": "817-720-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 16TH AVE S STE 112",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352055021",
"telephone_number": "205-380-6170",
"fax_number": "205-380-6172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL SKIN & BEAUTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "KRELL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-533-9112"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "113818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2132380",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Skin & Beauty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.