Active NPI
Valley Pharmacy & DME of East Alabama Inc
- Long Term Care Pharmacy
- Valley, AL
National Provider Identifier
1265085252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- VALLEY PHARMACY & DME OF EAST ALABAMA INC
- Practice address
- 4103 20TH Ave
Valley, AL 36854-3448 - Phone
- (334) 756-2037
- Fax
- (334) 756-9024
- NPI assigned
- Jul 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Lane Moore
- Title
- Owner
- Phone
- (334) 756-2037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
4103 20TH Ave
Valley, AL 36854-3448
Mailing address
4103 20TH Ave
Valley, AL 36854-3448
Phone (334) 756-2037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1388888 | Medicaid | AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Valley, AL
- NPI 1902943640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1265085252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 20TH AVE",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543448",
"telephone_number": "334-756-2037",
"fax_number": "334-756-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 20TH AVE",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543448",
"telephone_number": "334-756-2037",
"fax_number": "334-756-9024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PHARMACY & DME OF EAST ALABAMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-756-2037"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1388888",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley, AL
- Valley Family Physicians, LLC
- Valley Heart Health Clinic, LLC
- Valley Internal Medical Associates LLC
- Valley Medical & Surgical Clinic, P.C.
- Valley Orthopedics, PC
- Valley Pharmacy & DME of East Alabama Inc
- Valley Surigal
- Valley Surigical Inc
- Valley Wellness and Chiropractic Inc
- Ashton Scott Vega, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.