NPIMap

Organization Active NPI

USA Health Providence Retail Pharmacy LLC

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1245913144
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
USA HEALTH PROVIDENCE RETAIL PHARMACY LLC
Practice address
6701 Airport Blvd Ste B 124
Mobile, AL 36688-3053
Phone
(251) 266-2860
Fax
(251) 631-3166
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Benny J Stover
Title
Chief Financial Officer
Phone
(615) 850-6120

Specialties & licenses 1

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

Addresses

Primary practice location

6701 Airport Blvd Ste B 124
Mobile, AL 36688-3053

Mailing address

307 N University Blvd # Ad300
Mobile, AL 36688-3053
Phone (251) 461-1475

National Provider Directory

National Provider Directory

Locations

307 N University Blvd
#300
Mobile, AL 36688

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1245913144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N UNIVERSITY BLVD # AD300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "251-461-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B 124",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366883053",
            "telephone_number": "251-266-2860",
            "fax_number": "251-631-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTH PROVIDENCE RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "615-850-6120"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 9, 2023; 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.