Organization Active NPI

Dothan RX LLC

  • Pharmacy
  • Dothan, AL
National Provider Identifier
1104359041
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
114703 Issued in AL
Legal business name
DOTHAN RX LLC
Practice address
287 Healthwest Dr
Dothan, AL 36303-2031
Phone
(334) 305-0055
Fax
(334) 305-0056
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Lori Kirkland, PHARM.D.
Title
Pharm.D.
Phone
(334) 305-0055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 114703 AL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

287 Healthwest Dr
Dothan, AL 36303-2031

Mailing address

287 Healthwest Dr
Dothan, AL 36303-2031
Phone (334) 305-0055

Other names 1

  • Dothan RX Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170621001151 AL Part B Supplier - Pharmacy 9739457482 Practice locations: Dothan, AL
O20171222000928 AL DME Supplier - Pharmacy 9739457482 Practice locations: Dothan, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dothan RX LLC287 Healthwest Dr, Dothan, AL 36303-2031(334) 305-0055 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Jun 1, 2017

National Provider Directory

National Provider Directory

Locations

287 Healthwest Dr
Dothan, AL 36303
Phone (334) 792-9500

Practitioners & affiliated clinicians

Practitioners 3

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": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1104359041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032031",
            "telephone_number": "334-305-0055",
            "fax_number": "334-305-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032031",
            "telephone_number": "334-305-0055",
            "fax_number": "334-305-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHARM.D.",
        "authorized_official_telephone_number": "334-305-0055",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "114703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan RX",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dothan RX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.