Active NPI
Jerry'S Pharmacy
- Pharmacist
- Birmingham, AL
National Provider Identifier
1194802892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07008524
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105634 | Other | AL | STATE LICENSE |
| 0114568 | Other | AL | NABP |
| 0002350 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacy Technician
- Birmingham, AL
- NPI 1871670497
-
- Pharmacy Technician
- Birmingham, AL
- NPI 1275605883
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.