Organization Active NPI

Payless Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Ardmore, AL
National Provider Identifier
1174766018
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
110617 Issued in AL
Legal business name
PAYLESS PHARMACY
Practice address
29930 Ardmore Avenue
Ardmore, AL 35739
Phone
(256) 423-8989
Fax
(256) 423-8990
NPI assigned
Apr 8, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Mr. Jason Edwin Murph, RPHNPI 1720134174
Title
Chief Pharmacist
Phone
(256) 423-8989

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 110617 AL Primary

Addresses

Primary practice location

29930 Ardmore Avenue
Ardmore, AL 35739

Mailing address

29930 Ardmore Ave
Ardmore, AL 35739-7450
Phone (256) 423-8989

Other identifiers 1

IdentifierTypeStateIssuer
100002771MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Payless Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1174766018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29930 ARDMORE AVE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397450",
            "telephone_number": "256-423-8989",
            "fax_number": "256-423-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29930 ARDMORE AVENUE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "35739",
            "telephone_number": "256-423-8989",
            "fax_number": "256-423-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "MURPH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "256-423-8989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "110617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002771",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.