Organization Active NPI

Total Skin & Beauty Pharmacy LLC

  • Community/Retail Pharmacy
  • Birmingham, AL
National Provider Identifier
1104101468
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113818 Issued in AL
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

Updated by the provider on Mar 23, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2132380OtherPK

Other names 1

  • Total Skin & Beauty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.