Gardendale Health Mart Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GARDENDALE HEALTH MART PHARMACY LLC

Practice address

439 Fieldstown Rd Ste 145
Gardendale, AL 35071-3301

Phone

(205) 631-8989

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Josh Hardin, PHARMD

Title

Owner

Phone

(205) 427-0955

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mills Pharmacy at Gardendale Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Cooper Brown, PT, DPT

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1669051884
  NPD (past)
• Dustin M Clary, RPT

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1053400184
  NPD (past)
• Hannah Lynn Golden, PT, DPT

  • Physical Therapist
  • Homewood, AL
  • NPI 1295432656
  NPD (past)
• Joseph Michael Holloway, R.PH.

  • Pharmacist
  • Gardendale, AL
  • NPI 1265861686
  NPD (past)
• Dylan Paul, PT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1740940030
  NPD (past)
• Jon Wesley Taylor, DPT

  • Physical Therapist
  • Gardendale, AL
  • NPI 1952192296
  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1306218367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26679",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352600679",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 FIELDSTOWN RD STE 145",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713301",
            "telephone_number": "205-631-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE HEALTH MART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-427-0955",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18122",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy at Gardendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Drake Gamble, PT, DPT
• Keri Gamblin, COTA/L
• Gardendale Chiropractic Center
• Gardendale Dental
• Gardendale Family Dentistry
• Gardendale Medical Center
• Gardendale Oral Surgery, P.C.
• Gardendale Pain and Wellness, LLC
• Gardendale Pharmacy LLC
• Gardendale Physician Associates, P.C.

• Community/Retail Pharmacy in Gardendale, AL
• Providers in Gardendale, 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 Feb 22, 2022; 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.