Mitt Lary Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MITT LARY FAMILY PRACTICE, LLC

Practice address

4815 Rose Blvd
Northport, AL 35475-5950

Phone

(205) 722-0650

Fax

(205) 345-5178

NPI assigned

Oct 4, 2007

Last updated

Apr 1, 2024By 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

Dr. Malika Aryanpure, M.D.NPI 1346208048

Title

Physician, Owner

Phone

(205) 722-0650

Specialties & licenses 3

Addresses

Other names 1

• MedExpress, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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.

• Malika Aryanpure, M.D.

  • Primary Care Clinic/Center
  • Northport, AL
  • NPI 1346208048
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1184812000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 ROSE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354755950",
            "telephone_number": "205-722-0650",
            "fax_number": "205-345-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ROSE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354755950",
            "telephone_number": "205-722-0650",
            "fax_number": "205-345-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITT LARY FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "ARYANPURE",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "PHYSICIAN,  OWNER",
        "authorized_official_telephone_number": "205-722-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "27529",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AL",
            "license": "27529",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gwendolyn Miniard
• Kelcie Minor, PHARMD
• Kristen Minor
• Kathrice Unique Mitchell, RN
• Latonia Mitchell
• Jessica Mixon, LMFT
• MKW Enterprise Inc.
• MMC, M.D., LLC
• Lyndsie Rhoden Montgomery, CRNP
• Shannon L Montgomery, CRNA

• Family Medicine Physician in Northport, AL
• Providers in Northport, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.