Active NPI
Decatur Family Pharmacy
- Community/Retail Pharmacy
- Decatur, AL
National Provider Identifier
1124693999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DECATUR FAMILY PHARMACY
- Practice address
- 2828 Highway 31 S
Decatur, AL 35603-1538 - Phone
- (256) 822-2176
- NPI assigned
- May 25, 2021
- Last updated
- Dec 1, 2021
- 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
- Almeda Borden, PHARMD
- Title
- Pic/Manager
- Phone
- (256) 822-2176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2828 Highway 31 S
Decatur, AL 35603-1538
Mailing address
2828 Highway 31 S
Decatur, AL 35603-1538
Phone (256) 822-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210920001495 | AL | Part B Supplier - Pharmacy | 8426455304 | Practice locations: Decatur, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Decatur, AL
- NPI 1912572298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1124693999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031538",
"telephone_number": "256-822-2176",
"fax_number": "256-822-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031538",
"telephone_number": "256-822-2176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECATUR FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A",
"authorized_official_last_name": "BORDEN",
"authorized_official_first_name": "ALMEDA",
"authorized_official_title_or_position": "PIC/MANAGER",
"authorized_official_telephone_number": "256-822-2176",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
- Decatur Eye Institute
- Decatur Eye Insutitute
- Decatur Family Dentistry, PC
- Decatur Family Eye Care LLC
- Decatur Family Medicine PC
- Decatur Gastroenterology Associates PC
- Decatur General Hospital (M. Neel Roberts, M.D.)
- Decatur General Hospital (Mark A Sweeny, M.D.)
- Decatur General Hospital (P. Scott Harris, MD)
- Decatur General Hospital (Ppa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.