Organization Active NPI

Grand Pointe Pharmacy LLC

Doing business as Grand Pointe HealthMart Pharmacy

  • Community/Retail Pharmacy
  • Cullman, AL
National Provider Identifier
1205170701
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113996 Issued in AL
Legal business name
GRAND POINTE PHARMACY LLC
Doing business as
Grand Pointe HealthMart Pharmacy
Practice address
2045 2ND Ave NW
Cullman, AL 35058-0472
Phone
(256) 737-1330
Fax
(256) 737-8778
NPI assigned
Nov 21, 2012
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Angela VealNPI 1588798086
Title
Owner/Pharmacy Manager
Phone
(256) 531-7742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 113996 AL Primary

Addresses

Primary practice location

2045 2ND Ave NW
Cullman, AL 35058-0472

Mailing address

2045 2ND Ave NW
Cullman, AL 35058-0472
Phone (256) 737-1330

Other identifiers 2

IdentifierTypeStateIssuer
2137962OtherPK
144563MedicaidAL

Other names 1

  • Grand Pointe HealthMart Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161007001078 AL Part B Supplier - Mass Immunization (Roster Biller Only) 9537457494 Practice locations: Cullman, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2099091Grand Pointe Pharmacy LLC2045 2ND Ave NW, Cullman, AL 35058Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

2045 2nd Ave NW
Cullman, AL 35058
Phone (256) 737-1300

Practitioners & affiliated clinicians

Practitioners 2

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": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1205170701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580472",
            "telephone_number": "256-737-1330",
            "fax_number": "256-737-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580472",
            "telephone_number": "256-737-1330",
            "fax_number": "256-737-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND POINTE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "VEAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "256-531-7742"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137962",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144563",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Pointe HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.