Fred C Sandlin Jr
Organization Active NPI Durable Medical Equipment & Medical Supplies · Hamilton, AL
NPI 1225056567 · NPPES record last updated Nov 20, 2013
Key facts
- NPI
- 1225056567
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 104160 (AL)
- Legal business name
- FRED C SANDLIN JR
- Practice address
- 797 Military St S
Hamilton, AL 35570-4737 - Phone
- (205) 921-3193
- Fax
- (205) 921-2576
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Fred C Sandlin Jr., RHP
- Title
- Owner
- Phone
- (205) 921-3193
Practitioners 1
National Provider Directory
Locations
797 Military St S
Hamilton, AL 35570
Phone (205) 921-3193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 104160 | AL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 104160 | AL | Yes |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 104160 | AL | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 104160 | AL | |
| Pharmacy | 333600000X | 104160 | AL | |
| Community/Retail Pharmacy | 3336C0003X | 104160 | AL | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 104160 | AL | |
| Long Term Care Pharmacy | 3336L0003X | 104160 | AL | |
| Mail Order Pharmacy | 3336M0002X | 104160 | AL | |
| Specialty Pharmacy | 3336S0011X | 104160 | AL |
Addresses
Primary practice location
797 Military St S
Hamilton, AL 35570-4737
Mailing address
PO Box 36
Hamilton, AL 35570-0036
Phone (205) 921-3193
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003563 | Medicaid | AL | |
| 510-68006 | Other | AL | BCBS HIT |
| 000051121 | Medicaid | AL | |
| 009922585 | Medicaid | AL | |
| 0107361 | Other | MS | BCBS MS |
| 1537359 | Other | UMWA | |
| 00330656 | Medicaid | MS | |
| 00440633 | Medicaid | MS | |
| 510-51121 | Other | AL | BCBS |
Other names
- Freds Pharmacy
Other providers in Hamilton, AL
- Dr. Dale E. Bolt Dentistry
- Courtney Renee Dubose
- Encore Rehabilitation, Inc.
- Chelsey Lynne Finch
- Grant Phillips Fowler
- Fred C Sandlin, Jr
- Freds Stores of Tennessee Inc
- Jennifer Leigh Galbreath
- Mickey Wayne Gerstman
- Bethany Gray
All providers in Hamilton, AL · Durable Medical Equipment & Medical Supplies in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.