Organization Active NPI

Jerry'S Pharmacy

  • Pharmacist
  • Birmingham, AL
National Provider Identifier
1194802892
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07008524 Issued in AL
Legal business name
JERRY'S PHARMACY
Practice address
1532 Huffman Rd
Birmingham, AL 35215-5621
Phone
(205) 853-1293
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Charles Jerry Garrison, RPH.
Title
Owner/Pharmacist
Phone
(205) 853-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 07008524 AL Primary

Addresses

Primary practice location

1532 Huffman Rd
Birmingham, AL 35215-5621

Mailing address

1532 Huffman Rd
Birmingham, AL 35215-5621
Phone (205) 853-1293

Other identifiers 3

IdentifierTypeStateIssuer
105634OtherALSTATE LICENSE
0114568OtherALNABP
0002350MedicaidAL

National Provider Directory

National Provider Directory

Locations

1532 Huffman Rd
Center Point, AL 35215
Phone (205) 853-1293

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194802892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 HUFFMAN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155621",
            "telephone_number": "205-853-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 HUFFMAN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155621",
            "telephone_number": "205-853-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "205-853-1293",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "07008524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "105634",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0114568",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.