Vickers Priority Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

109916 Issued in AL

Legal business name

VICKERS PRIORITY CARE PHARMACY LLC

Doing business as

Vickers Pharmacy

Practice address

31040 1St Ave NE Suite 5
Carbon Hill, AL 35549

Phone

(205) 924-9999

Fax

(205) 924-1998

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Konie Minga, RPH

Title

President

Phone

(888) 980-1985

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VICKERS PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134287311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31040 1ST AVE NE SUITE 5",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "35549",
            "telephone_number": "205-924-9999",
            "fax_number": "205-924-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31040 1ST AVE NE SUITE 5",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "35549",
            "telephone_number": "205-924-9999",
            "fax_number": "205-924-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKERS PRIORITY CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MINGA",
        "authorized_official_first_name": "KONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-980-1985",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109916",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001926",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VICKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Billy Shane Williams, COTA/L

• Community/Retail Pharmacy in Carbon Hill, AL
• Providers in Carbon Hill, 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 Jul 21, 2022; 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.