Pleasant Grove Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

111591 Issued in AL

Legal business name

PLEASANT GROVE DRUGS INC.

Practice address

611 Pleasant Grove Rd
Pleasant Grove, AL 35127-2801

Phone

(205) 744-9400

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Brian Andrew RudolphNPI 1134272396

Title

President

Phone

(205) 744-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brian Andrew Rudolph

  • Pharmacist
  • Pleasant Grove, AL
  • NPI 1134272396
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275686800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PLEASANT GROVE RD",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351272801",
            "telephone_number": "205-744-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PLEASANT GROVE RD",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351272801",
            "telephone_number": "205-744-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT GROVE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-744-9400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0129393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marwan Marzok Ismail
• Ray Merrill III, D.M.D.
• Mills Pharmacy at Pleasant Grove LLC
• Myluma Health and Wellness LLC
• Patrice Banks Patton, OTR/L
• Pleasant Grove Nursing and Rehabilitation Center LLC
• Ebony Watkins Pollard, PHARM.D.
• Adina Rasheed
• Cassandra Denise Reedy
• J Shane Roberts, DMD

• Community/Retail Pharmacy in Pleasant Grove, AL
• Providers in Pleasant Grove, 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 Mar 7, 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.