Medicus Specialty Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

MEDICUS SPECIALTY PHARMACY

Practice address

1925 E Glenn Ave Ste 204
Auburn, AL 36830-5729

Phone

(334) 521-7408

Fax

(334) 521-0394

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John W Tole, DONPI 1568671584

Title

Owner / Physician

Phone

(334) 521-7408

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• John Winchester Tole II, D.O.

  • Allergy Physician
  • Auburn, AL
  • NPI 1568671584
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1194452656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E GLENN AVE STE 204",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305729",
            "telephone_number": "334-521-7408",
            "fax_number": "334-521-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E GLENN AVE STE 204",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305729",
            "telephone_number": "334-521-7408",
            "fax_number": "334-521-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "TOLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "334-521-7408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic Pharmacy in Auburn, AL
• Providers in Auburn, AL by specialty
• Clinic Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.