NPIMap

Organization Active NPI

Orange Beach Family Pharmacy

  • Pharmacy
  • Orange Beach, AL
National Provider Identifier
1205830999
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
110764 Issued in AL
Legal business name
ORANGE BEACH FAMILY PHARMACY
Practice address
25299 A Canal Road #6
Orange Beach, AL 36561
Phone
(251) 981-2255
Fax
(251) 981-2282
NPI assigned
Jun 9, 2005
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Pattisue Carranza, RPH, CDENPI 1154325835
Title
President/Owner
Phone
(251) 981-2255

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
Durable Medical Equipment & Medical Supplies 332B00000X 110764 AL
Pharmacy 333600000X 110764 AL Primary

Addresses

Primary practice location

25299 A Canal Road #6
Orange Beach, AL 36561

Mailing address

25299 A Canal Road #6
Orange Beach, AL 36561
Phone (251) 981-2255

Other names 1

  • FAMILY PHARMACY OF ORANGE BEACH Other name

National Provider Directory

National Provider Directory

Locations

25299 Canal Rd
#6
Orange Beach, AL 36561
Phone (251) 981-2255

Practitioners & affiliated clinicians

Practitioners 3

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1205830999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25299 A CANAL ROAD #6",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "36561",
            "telephone_number": "251-981-2255",
            "fax_number": "251-981-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25299 A CANAL ROAD #6",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "36561",
            "telephone_number": "251-981-2255",
            "fax_number": "251-981-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BEACH FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "PATTISUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "251-981-2255",
        "authorized_official_credential": "RPH, CDE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "110764",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "110764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY OF ORANGE BEACH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.