NPIMap

Organization Active NPI

HH Health System - Retail Pharmacy LLC

Doing business as Keller Community Pharmacy

  • Pharmacy
  • Sheffield, AL
National Provider Identifier
1336557446
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
114369 Issued in AL
Legal business name
HH HEALTH SYSTEM - RETAIL PHARMACY LLC
Doing business as
Keller Community Pharmacy
Practice address
1300 S. Montgomery Ave.
Sheffield, AL 35660
Phone
(256) 386-4600
Fax
(256) 386-4676
NPI assigned
Aug 1, 2014
Organization subpart
Yes
Parent organization
HH HEALTH SYSTEM SHOALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Jeff Samz
Title
Evp
Phone
(256) 265-2853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 114369 AL Primary
Community/Retail Pharmacy 3336C0003X 114369 AL

Addresses

Primary practice location

1300 S. Montgomery Ave.
Sheffield, AL 35660

Mailing address

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4600

Other identifiers 2

IdentifierTypeStateIssuer
186575MedicaidAL
2146996OtherPK

Other names 1

  • Keller Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HH Health System-Shoals4 organizations share this tax ID, including this one
Part of
HH Health System-Shoals

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1336557446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-4600",
            "fax_number": "256-386-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S. MONTGOMERY AVE.",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-4600",
            "fax_number": "256-386-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH HEALTH SYSTEM - RETAIL PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM SHOALS",
        "enumeration_date": "2014-08-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "SAMZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "256-265-2853"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "114369",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186575",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keller Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.