Guardian Pharmacy of Birmingham LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

114449 Issued in AL

Legal business name

GUARDIAN PHARMACY OF BIRMINGHAM LLC

Practice address

1100 7TH Ave
Jasper, AL 35501-4377

Phone

(205) 397-4660

Fax

(205) 397-4661

NPI assigned

Jan 20, 2015

Last updated

Dec 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Boyd

Title

President

Phone

(205) 879-5300

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Guardian Pharmacy of Birmingham LLC

  • Long Term Care Pharmacy
  • Birmingham, AL
  • NPI 1588878722

  1254535974

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Guardian Pharmacy of Birmingham LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Guardian Pharmacy of Birmingham LLC

  • Long Term Care Pharmacy
  • Birmingham, AL
  • NPI 1588878722
  NPD tax ID
• Guardian Pharmacy of Birmingham LLC

  dba Southern Pharmaceutical Services

  • Long Term Care Pharmacy
  • Irondale, AL
  • NPI 1831129519
  NPD tax ID
• Guardian Pharmacy of Birmingham LLC

  dba Guardian Pharmacy of Alabama

  • Long Term Care Pharmacy
  • Huntsville, AL
  • NPI 1932024189
  NPD tax ID

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1184013799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT #2397",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462397",
            "telephone_number": "404-554-1647",
            "fax_number": "404-554-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014377",
            "telephone_number": "205-397-4660",
            "fax_number": "205-397-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF BIRMINGHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-879-5300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "114449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149782",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168682",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Glover, MD
• Erin Rebecca Glover
• Elizabeth Gonzalez, BS
• Mary Alexandria Grace
• Catina Renee Griffith, PHARMD
• Gunter Health Services
• Erik Coleton Gunter
• Kelly Gurganus, M.S., CCC-SLP
• Kenneth J Hager, MD
• Candice Terry Hagler, M.D.

• Long Term Care Pharmacy in Jasper, AL
• Providers in Jasper, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.