Organization Active NPI

C & R Pharmacy

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1245529494
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113578 Issued in AL
Legal business name
C & R PHARMACY
Practice address
4682 Airport Blvd Ste a
Mobile, AL 36608-3124
Phone
(251) 341-1113
Fax
(241) 341-1116
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Xiulu Ruan
Title
Co-Owner
Phone
(251) 478-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113578 AL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4682 Airport Blvd Ste a
Mobile, AL 36608-3124

Mailing address

4682 Airport Blvd Ste a
Mobile, AL 36608-3124
Phone (251) 341-1113

Other identifiers 1

IdentifierTypeStateIssuer
0137047OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • C & R Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4682 Airport Blvd
#A
Mobile, AL 36608
Phone (251) 341-1113

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1245529494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 AIRPORT BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083124",
            "telephone_number": "251-341-1113",
            "fax_number": "251-341-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 AIRPORT BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083124",
            "telephone_number": "251-341-1113",
            "fax_number": "241-341-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "RUAN",
        "authorized_official_first_name": "XIULU",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "251-478-4900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113578",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0137047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & R Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.