McKinnon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

106355 Issued in AL

Legal business name

MCKINNON PHARMACY INC

Practice address

8420 1St Ave
Leeds, AL 35094-2150

Phone

(205) 699-5195

Fax

(205) 699-5818

NPI assigned

Nov 13, 2006

Organization subpart

No

Name

Josh Hardin, PHARMD

Title

Owner

Phone

(205) 427-0955

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

• Hannah Givens Shelton, PHARM.D

  • Pharmacist
  • Leeds, AL
  • NPI 1174227870
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

• MCKINNON PHARMACY Doing business as
• Mills Pharmacy at Leeds Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2020.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1245301258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26679",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352600679",
            "telephone_number": "205-699-5195",
            "fax_number": "205-699-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 1ST AVE",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350942150",
            "telephone_number": "205-699-5195",
            "fax_number": "205-699-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-427-0955",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000276",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKINNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCKINNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Pharmacy at Leeds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayla Lowery, PA-C
• Allison Marie Lowman, PT, DPT
• Chloe May
• Lauren Cery McConnell
• Katya McGee
• Patrick Joseph McNeill, PHARM. D.
• Susan L Melvin
• Michelle K Davis, DMD PC
• Carol Wilson Miles, DMD
• Bailee M Mines

• All providers in Leeds, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.