Organization Active NPI

Rock Creek Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Bessemer, AL
National Provider Identifier
1245210434
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROCK CREEK PHARMACY, INC.
Practice address
6799 Warrior River Rd
Ste.101
Bessemer, AL 35023-8001
Phone
(205) 497-8777
Fax
(205) 497-8797
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Teri H AndersNPI 1871689836
Title
Pharmacist/Owner
Phone
(205) 497-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6799 Warrior River Rd
Ste.101
Bessemer, AL 35023-8001

Mailing address

6817 Warrior River Rd Ste 101
Bessemer, AL 35023-5602
Phone (205) 497-8777

Other identifiers 4

IdentifierTypeStateIssuer
7866190001OtherALMEDICARE DME
112692OtherALSTATE LICENSE #
Q123610001OtherIMMUNIZATION
100003639MedicaidAL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210120002601 AL DME Supplier - Pharmacy 3678588837 Practice locations: Bessemer, AL
O20210122001614 AL Part B Supplier - Pharmacy 3678588837 Practice locations: Bessemer, AL

National Provider Directory

National Provider Directory

Locations

6799 Warrior River Rd
Ste 101
Bessemer, AL 35023
Phone (205) 497-8777

6817 Warrior River Rd
Bessemer, AL 35023
Phone (205) 497-8777

6817 Warrior River Rd
Ste 101
Bessemer, AL 35023
Phone (205) 497-8777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245210434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 WARRIOR RIVER RD STE 101",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350235602",
            "telephone_number": "205-497-8777",
            "fax_number": "205-497-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 WARRIOR RIVER RD",
            "address_2": "STE.101",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350238001",
            "telephone_number": "205-497-8777",
            "fax_number": "205-497-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "205-497-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "7866190001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "112692",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION",
            "identifier": "Q123610001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003639",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.