Active NPI
Bruno'S Supermarkets, LLC.
- Community/Retail Pharmacy
- Wetumpka, AL
National Provider Identifier
1104931393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BRUNO'S SUPERMARKETS, LLC.
- Practice address
- 4896 US Highway 231
Wetumpka, AL 36092-3314 - Phone
- (334) 514-4925
- Fax
- (334) 514-7052
- NPI assigned
- Aug 20, 2006
- Organization subpart
- Yes
- Parent organization
- BRUNO'S SUPERMARKETS, LLC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Hartin
- Title
- Sr. Director of Pharmacy
- Phone
- (864) 213-2584
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 111776 | AL | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4896 US Highway 231
Wetumpka, AL 36092-3314
Mailing address
PO Box 99
Mauldin, SC 29662-0099
Phone (864) 213-2587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130144 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Food World Pharmacy #036
National Provider Directory
National Provider Directory- Part of
- Bruno'S Supermarket LLC
Locations
4896 US Highway 231
Wetumpka, AL 36092
Phone (334) 514-4925
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Birmingham, AL
- NPI 1518132349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1104931393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296620099",
"telephone_number": "864-213-2587",
"fax_number": "864-213-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4896 US HIGHWAY 231",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360923314",
"telephone_number": "334-514-4925",
"fax_number": "334-514-7052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNO'S SUPERMARKETS, LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRUNO'S SUPERMARKETS, LLC.",
"enumeration_date": "2006-08-20",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "HARTIN",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "SR. DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "864-213-2584"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "111776",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0130144",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Food World Pharmacy #036",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.