Bruno's Supermarket's, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRUNO'S SUPERMARKET'S, LLC.

Doing business as

Food World Pharmacy #115

Practice address

1940 Forestdale Blvd
Forestdale, AL 35214

Phone

(205) 798-6191

Fax

(205) 798-3196

NPI assigned

Aug 20, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

BRUNO'S SUPERMARKET'S, LLC.As reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Food World Pharmacy #115 Doing business as

Part of

Brunos Pharmacy 595

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": "1114032307",
    "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": "1940 FORESTDALE BLVD",
            "city": "FORESTDALE",
            "state": "AL",
            "postal_code": "35214",
            "telephone_number": "205-798-6191",
            "fax_number": "205-798-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO'S SUPERMARKET'S, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUNO'S SUPERMARKET'S, 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": "111048",
            "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": "0127375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food World Pharmacy #115",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Family Care, LLC
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• Delano Benjamin, M.D.
• Sonja Dione Craig, CRNP FNP-BC
• Angela Huang, PHARMD
• Carey Wayne Ketchum, MD
• Emily Kluesner, R.PH.
• Chelsea Renae Pittman

• Community/Retail Pharmacy in Forestdale, AL
• Providers in Forestdale, AL by specialty
• Community/Retail Pharmacy in Alabama

• 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.

Verify at the official NPI Registry.