NPIMap

Organization Active NPI

Southern Family Markets LLC

Doing business as Bruno's Food and Pharmacy

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1275768772
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110675 Issued in AL
Legal business name
SOUTHERN FAMILY MARKETS LLC
Doing business as
Bruno's Food and Pharmacy
Practice address
306 S University Blvd
Mobile, AL 36609-2909
Phone
(251) 342-6595
Fax
(251) 342-1409
NPI assigned
May 28, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Mark Tow
Title
Director of Pharmacy
Phone
(205) 912-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 110675 AL Primary

Addresses

Primary practice location

306 S University Blvd
Mobile, AL 36609-2909

Mailing address

PO Box 8500
Lockbox 8531
Philadelphia, PA 19178-8531

Other identifiers 1

IdentifierTypeStateIssuer
0135980OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Bruno's Food and Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1275768772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX 8531",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191788531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092909",
            "telephone_number": "251-342-6595",
            "fax_number": "251-342-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "TOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "205-912-4934"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0135980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruno's Food and Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.