Complete Patient Services LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

111212 Issued in AL

Legal business name

COMPLETE PATIENT SERVICES LLC

Practice address

4333 Boulevard Park N
Mobile, AL 36609-3422

Phone

(251) 460-0300

Fax

(251) 460-0304

NPI assigned

Jun 13, 2005

Last updated

Apr 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra G Stoudenmire

Title

Owner

Phone

(251) 460-0300

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302307200000",
    "number": "1225032659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 BOULEVARD PARK N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093422",
            "telephone_number": "251-460-0300",
            "fax_number": "251-460-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 BOULEVARD PARK N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093422",
            "telephone_number": "251-460-0300",
            "fax_number": "251-460-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-04-09",
        "status": "A",
        "authorized_official_last_name": "STOUDENMIRE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-460-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "4900 41002",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "2005-009446",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "111212",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "200547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440573",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002966",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009927290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Mobile, AL
• Providers in Mobile, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; 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.