Eric Victor Short, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13847 Issued in AL

Practice address

83 Main St
Cordova, AL 35550-1414

Phone

(205) 648-9918

Fax

(205) 648-9644

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ericshort@samgloverdrugs.libertysoftwaredirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cordova Drug Company

  • Pharmacist
  • Cordova, AL
  • NPI 1801993035
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1316186901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "CORDOVA",
            "state": "AL",
            "postal_code": "355501414",
            "telephone_number": "205-648-9918",
            "fax_number": "205-648-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MAIN ST",
            "city": "CORDOVA",
            "state": "AL",
            "postal_code": "355501414",
            "telephone_number": "205-648-9918",
            "fax_number": "205-648-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "ERIC",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13847",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AL",
            "license": "13847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "13847",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthcare Capital Management
• Tina Herron, RPH
• Integrative Family Medicine, LLC
• Julian D. Maddox Inc. Dba Glover Pharmacy
• Laboratory Corporation of America Holdings
• Scottie Lynn Twilley, D.O.

• Pharmacist in Cordova, AL
• Providers in Cordova, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.