Tri State Pharmaceutical Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

111313 Issued in AL

Legal business name

TRI STATE PHARMACEUTICAL SERVICES INC

Practice address

4119 W Main St
Dothan, AL 36305-1023

Phone

(334) 793-1316

Fax

(334) 793-4920

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Michael Stringer, RPHNPI 1306848064

Title

VP

Phone

(334) 793-1316

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Ezell Stringer, RPH

  • Pharmacist
  • Dothan, AL
  • NPI 1306848064
  NPD Authorized official
• Wendy Perry Simpler, CPHT

  • Pharmacy Technician
  • Dothan, AL
  • NPI 1174509327
  NPD
• Michelle Edmunds Braswell

  • Pharmacist
  • Dothan, AL
  • NPI 1073721015
  NPD (past)
• Kathy Sawyer Lazenby, RPH

  • Pharmacist
  • Dothan, AL
  • NPI 1437141454
  NPD (past)
• Dorinda Michelle Watson, RPH

  • Pharmacist
  • Dothan, AL
  • NPI 1205828456
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1154308625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051023",
            "telephone_number": "334-793-1316",
            "fax_number": "334-793-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE PHARMACEUTICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "STRINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "334-793-1316",
        "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": "111313",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0116839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CAHABA GBA-AL PART B",
            "identifier": "051555957",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003015",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Respiratory Medications, Inc. (Vital Care of Dothan)
• Kimberly Nicole Trammell, CRNA
• Transform Central Inc.
• Sisley Chase Trawick
• Claire Maria Treadwell, M.S.
• Tri-State Counseling and Consulting, LLC
• Tri-State Medical Supplies, Inc (Diabetic Resource Specialists)
• Tri-State Pharmaceutical Services Inc (Doctors Center Pharmacy)
• Tri-State Urology, P.C.
• Triad of Alabama LLC (Flowers Hospital)

• Community/Retail Pharmacy in Dothan, AL
• Providers in Dothan, 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 Jan 17, 2018; 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.

Verify at the official NPI Registry.