Organization Active NPI

Senior Care Pharmacy Inc

  • Long Term Care Pharmacy
  • Birmingham, AL
National Provider Identifier
1235653221
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
114734 Issued in AL
Legal business name
SENIOR CARE PHARMACY INC
Practice address
1424 Montclair Rd Ste 6101
Birmingham, AL 35210-2208
Phone
(205) 951-3939
NPI assigned
Aug 1, 2017
Organization subpart
Yes
Parent organization
SENIOR CARE PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Phillip Cody Long
Title
Chief Financial Officer
Phone
(205) 391-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 114734 AL
Long Term Care Pharmacy 3336L0003X 114734 AL Primary

Addresses

Primary practice location

1424 Montclair Rd Ste 6101
Birmingham, AL 35210-2208

Mailing address

1424 Montclair Rd Ste 6101
Birmingham, AL 35210-2208

Other names 1

  • Senior Care Pharmacy of Birmingham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118002050 AL Part B Supplier - Mass Immunization (Roster Biller Only) 6901217272 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northport, AL; Daphne, AL; Irondale, AL

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Senior Care Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Senior Care Pharmacy Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1235653221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD STE 6101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MONTCLAIR RD STE 6101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102208",
            "telephone_number": "205-951-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE PHARMACY, INC",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114734",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "114734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Pharmacy of Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.