Organization Active NPI

Foley Pharmacy

  • Pharmacy
  • Foley, AL
National Provider Identifier
1275303984
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FOLEY PHARMACY
Practice address
703 N McKenzie St
Foley, AL 36535-3542
Phone
(251) 200-5720
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Mr. Thomas Kelton Bullock Jr., RPHNPI 1366706186
Title
Pharmacist in Charge
Phone
(251) 200-5720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

703 N McKenzie St
Foley, AL 36535-3542

Mailing address

703 N McKenzie St
Foley, AL 36535-3542
Phone (251) 200-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240604002390 AL Part B Supplier - Pharmacy 8426590597 Practice locations: Foley, AL
O20240726001678 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8426590597 Practice locations: Foley, AL

National Provider Directory

National Provider Directory

Locations

703 N McKenzie St
Foley, AL 36535
Phone (251) 200-5720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1275303984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353542",
            "telephone_number": "251-200-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353542",
            "telephone_number": "251-200-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KELTON",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "251-200-5720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.