Acipco Medical Group Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

112743 Issued in AL

Legal business name

ACIPCO MEDICAL GROUP INC

Practice address

3200 16TH St N
Birmingham, AL 35207-4202

Phone

(205) 325-7012

Fax

(205) 307-2719

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Johnny Curren, RPH

Title

Director of Pharmacy

Phone

(205) 325-8081

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ACIPCO Medical Group Pharmacy Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1164575692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12725",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352026725",
            "telephone_number": "205-325-8081",
            "fax_number": "205-307-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 16TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074202",
            "telephone_number": "205-325-7012",
            "fax_number": "205-307-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACIPCO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "CURREN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "205-325-8081",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AL",
            "license": "112743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002930",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACIPCO Medical Group Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Birmingham, AL
• Clinic Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.