NPIMap

Organization Active NPI

Star Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
National Provider Identifier
1306023288
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113048 Issued in AL
Legal business name
STAR DISCOUNT PHARMACY INC
Practice address
7900 Bailey Cove Rd SE Ste R
Huntsville, AL 35802-3330
Phone
(256) 650-2335
Fax
(256) 650-2337
NPI assigned
Jan 23, 2008
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
Darden Heritage, RPH
Title
President
Phone
(256) 534-1118

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 113048 AL Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

7900 Bailey Cove Rd SE Ste R
Huntsville, AL 35802-3330

Mailing address

7900 Bailey Cove Rd SE Ste R
Huntsville, AL 35802-3330
Phone (256) 650-2335

Other identifiers 2

IdentifierTypeStateIssuer
0135055OtherNCPDP PROVIDER IDENTIFICATION NUMBER
100040209MedicaidAL

Other names 1

  • STAR DISCOUNT PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930057811 AL DME Supplier - Pharmacy 2264509447 Practice locations: Huntsville, AL
O20171204002965 AL Part B Supplier - Mass Immunization (Roster Biller Only) 2264509447 Practice locations: Huntsville, AL

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2177049Star Discount Pharmacy #47900 Bailey Cove Road Suite R, Huntsville, AL 35802Certificate of waiverJan 1, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Star Discount Pharmacy Inc7900 Bailey Cove Rd SE, Huntsville, AL 35802-3330(256) 650-2335 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 18, 2000

National Provider Directory

National Provider Directory
Tax ID family
Star Discount Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1011 Meridian St N
Huntsville, AL 35801

Practitioners & affiliated clinicians

Practitioners 3

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1306023288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BAILEY COVE RD SE STE R",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023330",
            "telephone_number": "256-650-2335",
            "fax_number": "256-650-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 BAILEY COVE RD SE STE R",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023330",
            "telephone_number": "256-650-2335",
            "fax_number": "256-650-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "DARDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-534-1118",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113048",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0135055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040209",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.