Organization Active NPI

Star Discount Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Meridianville, AL
National Provider Identifier
1265410088
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
112104 Issued in AL
Legal business name
STAR DISCOUNT PHARMACY INC
Practice address
12078 Highway 231 431 North
Meridianville, AL 35759-1225
Phone
(256) 829-0209
Fax
(256) 829-0992
NPI assigned
Jan 3, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Trent McLemore, PHARMD
Title
Director of Pharmacy
Phone
(256) 566-7980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 112104 AL Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

12078 Highway 231 431 North
Meridianville, AL 35759-1225

Mailing address

12078 Highway 231 431 North
Meridianville, AL 35759-1225
Phone (256) 829-0209

Other identifiers 2

IdentifierTypeStateIssuer
009931817MedicaidAL
515 19615OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050253 AL DME Supplier - Pharmacy 2264509447 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Meridianville, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

12078 Highway 231 431 N
Meridianville, AL 35759
Phone (256) 829-0209

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1265410088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 HIGHWAY 231 431 NORTH",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591225",
            "telephone_number": "256-829-0209",
            "fax_number": "256-829-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 HIGHWAY 231 431 NORTH",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591225",
            "telephone_number": "256-829-0209",
            "fax_number": "256-829-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "256-566-7980",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "112104",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009931817",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "515 19615",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.