Redmont Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

108330 Issued in AL

Legal business name

REDMONT PHARMACY

Doing business as

Redmont Pharmacy

Practice address

1102 4TH St NW
Red Bay, AL 35582-3941

Phone

(256) 356-9000

Fax

(256) 356-9060

NPI assigned

Jan 16, 2007

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Weeks, RPH

Title

Owner/President/Pic/Ao

Phone

(256) 356-9000

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• REDMONT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Redmont Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Red Bay, AL
  • NPI 1518057041

  8729107404

  Same PAC ID

Tax ID family

Redmont Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redmont Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Red Bay, AL
  • NPI 1518057041
  NPD tax ID

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1265583256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355821487",
            "telephone_number": "256-356-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 4TH ST NW",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823941",
            "telephone_number": "256-356-9000",
            "fax_number": "256-356-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMONT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "256-356-9000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "14425/7.1",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "108330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009919100",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030214",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040386",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001897",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDMONT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REDMONT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Douglas Ray, D.D.S.
• Raynard Fabianke, Medical Clinic of Red Bay
• Red Bay Hospital Outpatient Clinic
• Red Bay Opco LLC (RedBay Nursing and Rehab Center)
• Red Bay Pharmacy, LLC.
• Redmont Pharmacy
• Emma Grace Russell
• Southcare Health and Rehab of Red Bay,LLC
• Southern Rural Health Care Consortium, Inc.
• Cori K Vandevender, PHARM.D

• Community/Retail Pharmacy in Red Bay, AL
• Providers in Red Bay, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.