Bruno'S Supermarket, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRUNO'S SUPERMARKET, LLC.

Practice address

512 Pike Street
Monroeville, AL 36460

Phone

(251) 575-2914

Fax

(251) 575-2495

NPI assigned

Aug 20, 2006

Organization subpart

Yes

Parent organization

BRUNO'S SUPERMARKET, LLC.As reported in NPPES

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

Authorized official

Name

Curtis Hartin

Title

Sr. Director of Pharmacy

Phone

(864) 213-2584

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Food World Pharmacy #222 Doing business as

Part of

Bruno'S Supermarket LLC

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1215042403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620099",
            "telephone_number": "864-213-2587",
            "fax_number": "864-213-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PIKE STREET",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-2914",
            "fax_number": "251-575-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO'S SUPERMARKET, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUNO'S SUPERMARKET, LLC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HARTIN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "864-213-2584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "111137",
            "primary": false
        },
        {
            "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": "0124153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food World Pharmacy #222",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert R Boroughs IV, MD
• Jennifer Gatewood Breuer, R.PH
• Lucendia H Broughton
• Thomas W Broughton, M.D.
• Timothy Brad Brown, PHARM.D.
• Wendy Sewell Byrd, PT,OSC
• Ruby Marie Carroll, LPTA
• Jennifer Chambers
• City of Monroeville
• Makayla Coleman, RDN

• All providers in Monroeville, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.