NPIMap

Organization Active NPI

Medtown South

  • Community/Retail Pharmacy
  • Pelham, AL
National Provider Identifier
1194846642
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDTOWN SOUTH
Practice address
1974 Chandalar Dr
Ste B
Pelham, AL 35124-4340
Phone
(205) 621-1515
Fax
(205) 621-7557
NPI assigned
Apr 3, 2007
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Chris Simpson, PHRMD
Title
PHRM Mang
Phone
(205) 621-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1974 Chandalar Dr
Ste B
Pelham, AL 35124-4340

Mailing address

1974 Chandalar Dr
Ste B
Pelham, AL 35124-4340
Phone (205) 621-1515

Other identifiers 1

IdentifierTypeStateIssuer
0134356OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1974 Chandalar Dr
Ste B
Pelham, AL 35124
Phone (205) 621-1515

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1194846642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 CHANDALAR DR",
            "address_2": "STE B",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244340",
            "telephone_number": "205-621-1515",
            "fax_number": "205-621-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 CHANDALAR DR",
            "address_2": "STE B",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244340",
            "telephone_number": "205-621-1515",
            "fax_number": "205-621-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOWN SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "205-621-1515",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0134356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.