NPIMap

Organization Active NPI

The East Alabama Health Care Authority

Doing business as East Alabama Apothecary Store 1

  • Community/Retail Pharmacy
  • Opelika, AL
National Provider Identifier
1215089305
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114653 Issued in AL
Legal business name
THE EAST ALABAMA HEALTH CARE AUTHORITY
Doing business as
East Alabama Apothecary Store 1
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
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PHNR001136 GA
Community/Retail Pharmacy 3336C0003X 114653 AL Primary
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 1

  • East Alabama Apothecary Store 1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
01D2252499East Alabama Apothecary2000 Pepperell Parkway, Opelika, AL 36801Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
East Alabama Medical Cent24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

411A Opelika Rd
Auburn, AL 36830
Phone (334) 826-7220

560 Devall Dr
Auburn, AL 36832
Phone (334) 844-7616

560 Devall Dr
Ste 101
Auburn, AL 36832
Phone (334) 844-7674

900 Camp Auburn Rd
Ste 300
Auburn, AL 36832
Phone (334) 528-1156

122 N 20th St
Bldg 22
Opelika, AL 36801
Phone (334) 528-4460

2000 Pepperell Pkwy
Ste 292
Opelika, AL 36801
Phone (334) 528-2293

2107 Pepperell Pkwy
#C
Opelika, AL 36801
Phone (334) 528-1964

2420 Village Professional Dr S
Opelika, AL 36801
Phone (334) 528-7270

2422 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-6800

2501 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-1070

2501 Village Professional Dr
Ste 2031
Opelika, AL 36801
Phone (334) 528-2293

3120 Frederick Rd
Ste L
Opelika, AL 36801
Phone (334) 821-0238

965 Highway 431
Roanoke, AL 36274
Phone (334) 863-2142

50 Lee Road 430
Smiths Station, AL 36877
Phone (334) 297-7151

267 Fob James Dr
Valley, AL 36854
Phone (334) 364-3330

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eamc-Lanier Rural Emergency HospitalValley, AL, CCN 010780 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
Eamc - Lanier Nursing HomeValley, AL, CCN 015045 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 HealthAuburn, AL, CCN 017129 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jun 1, 2009

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 153

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.

View all 153

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1215089305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY STE 292",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-528-2293",
            "fax_number": "334-528-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY STE 292",
            "address_2": "SUITE 292",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-528-2293",
            "fax_number": "334-528-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHNR001136",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114653",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Alabama Apothecary Store 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.