The East Alabama Health Care Authority
Organization Active NPI Community/Retail Pharmacy · Opelika, AL
NPI 1215089305 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1215089305
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 114653 (AL)
- Legal business name
- THE EAST ALABAMA HEALTH CARE AUTHORITY
- Practice address
- 2000 Pepperell Pkwy Ste 292
Suite 292
Opelika, AL 36801-5452 - Phone
- (334) 528-2293
- Fax
- (334) 528-4702
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Samuel A Price Jr.
- Title
- Cfo
- Phone
- (334) 528-1310
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 23
Member of 1
Practitioners 167
-
Christy Michelle Ballard, FNP-C
-
Kressida Cain Benson, M.D.
-
Kerri Bevis, MD
-
Jinghua Bian, NP-C
-
William Forrest Bonner, CRNP
-
Merri Lynn Carroll, MSN,FNP-C
-
Brooke Causland, CRNP
-
Haley Lane Clay, DO
-
Lawanar Coleman, CRNP
-
James D Crosby, MD
-
Nathan Terry Douthit, M.D.
-
Morgan Duke, CRNP
-
Andrew Eden, CRNP
-
Sarah Faison, CRNP
-
Brandi P Fetner, CRNP
-
Jayme Gardner, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2252499 | East Alabama Apothecary | Certificate of waiver | Feb 10, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Eamc-Lanier Rural Emergency Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2024 |
| Eamc - Lanier Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF Direct Ownership Interest (100%) |
Feb 1, 2014 Feb 1, 2014 Feb 28, 2025 Feb 1, 2014 |
| Homecare of East Alabama Health |
Home health agency | 5% Or Greater Direct Ownership Interest (25%) | Jun 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180917001379 | AL | Part B Supplier - Pharmacy | 5890046742 |
3 other NPIs on this enrollment Practice locations: Auburn, AL; Opelika, AL |
| O20241118003268 | AL | Part B Supplier - Pharmacy | 3072403237 |
3 other NPIs on this enrollment Practice locations: Auburn, AL; Opelika, AL |
National Provider Directory
- Tax ID family
- Bethany House of East Alabama Medical Center
Locations
411A Opelika Rd
Auburn, AL 36830
Phone (334) 826-7220
900 Camp Auburn Rd
Ste 300
Auburn, AL 36832
Phone (334) 528-1156
560 Devall Dr
Ste 101
Auburn, AL 36832
Phone (334) 844-7674
2422 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-6800
122 N 20th St
Bldg 22
Opelika, AL 36801
Phone (334) 528-4460
121 N 20th St
Ste 17
Opelika, AL 36801
Phone (334) 528-6900
3120 Frederick Rd
Ste L
Opelika, AL 36801
Phone (334) 821-0238
2412 Village Professional Dr S
Opelika, AL 36801
Phone (334) 528-6670
2570 Village Professional Dr
Opelika, AL 36801
Phone (334) 203-1917
2107 Pepperell Pkwy
#C
Opelika, AL 36801
Phone (334) 528-1964
5211 20th Ave
Valley, AL 36854
Phone (334) 756-8800
4800 48th St
Valley, AL 36854
Phone (334) 756-1401
4800 48th St
Fl 2
Valley, AL 36854
Phone (334) 710-0091
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PHNR001136 | GA | |
| Community/Retail Pharmacy | 3336C0003X | 114653 | AL | Yes |
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2000 Pepperell Pkwy Ste 292
Suite 292
Opelika, AL 36801-5452
Mailing address
2000 Pepperell Pkwy Ste 292
Opelika, AL 36801-5452
Phone (334) 528-2293
Other names
- East Alabama Apothecary Store 1
Other providers in Opelika, AL
- Tell Me More Therapy LLC
- Thaxton Little Counseling LLC
- The Center for Pain of Montgomery LLC
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Healthcare Authority
- The Jewel Professor LLC
All providers in Opelika, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.