Organization Active NPI

St Clair Pharmacy LLC

  • Community/Retail Pharmacy
  • Leesburg, AL
National Provider Identifier
1306918909
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111827 Issued in AL
Legal business name
ST CLAIR PHARMACY LLC
Practice address
270 Industrial Blvd
Leesburg, AL 35983-3737
Phone
(256) 526-6337
Fax
(256) 526-6342
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Daniel St Clair
Title
Owner
Phone
(256) 526-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 111827 AL Primary

Addresses

Primary practice location

270 Industrial Blvd
Leesburg, AL 35983-3737

Mailing address

270 Industrial Blvd
Leesburg, AL 35983-3737
Phone (256) 526-6337

Other identifiers 1

IdentifierTypeStateIssuer
2135005OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140210000429 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0143459370 Practice locations: Leesburg, AL

National Provider Directory

National Provider Directory

Locations

270 Industrial Blvd
Leesburg, AL 35983
Phone (256) 526-6337

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1306918909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 INDUSTRIAL BLVD",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359833737",
            "telephone_number": "256-526-6337",
            "fax_number": "256-526-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 INDUSTRIAL BLVD",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359833737",
            "telephone_number": "256-526-6337",
            "fax_number": "256-526-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-526-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.