Active NPI
Dothan RX LLC
- Pharmacy
- Dothan, AL
National Provider Identifier
1104359041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 114703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dothan RX LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Dothan, AL
- NPI 1619407764
-
- Hematology & Oncology Physician
- Dothan, AL
- NPI 1619136413
-
- Hematology & Oncology Physician
- Troy, AL
- NPI 1609976612
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
- Dothan Pharmacy LLC
- Dothan Primary Care LLC
- Dothan Professional Counseling Services
- Dothan Psychiatric, PC
- Dothan Psychiatry & Sleep Disorders Medicine, PC
- Dothan Smiles Youth Dentistry, PC
- Dothan Spine & Specialty LLC
- Dothan Surgery Center, LLC
- Dothan Surgical Services, LLC
- Dothan Therapy Associates Inc
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.