Organization Active NPI

Scottsboro Family Pharmacy, LLC

  • Community/Retail Pharmacy
  • Scottsboro, AL
National Provider Identifier
1356439780
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112614 Issued in AL
Legal business name
SCOTTSBORO FAMILY PHARMACY, LLC
Practice address
201 Veterans Dr
Suite 101
Scottsboro, AL 35768-2167
Phone
(256) 259-9300
Fax
(256) 259-9301
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Dr. Jeffrey Lee Hill, PHARM.D.NPI 1740363217
Title
Owner
Phone
(256) 259-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 112614 AL Primary

Addresses

Primary practice location

201 Veterans Dr
Suite 101
Scottsboro, AL 35768-2167

Mailing address

201 Veterans Dr
Suite 101
Scottsboro, AL 35768-2167
Phone (256) 259-9300

Other identifiers 1

IdentifierTypeStateIssuer
100003588MedicaidAL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930081498 AL DME Supplier - Pharmacy 7214147651 Practice locations: Scottsboro, AL
O20110909002504 AL Part B Supplier - Mass Immunization (Roster Biller Only) 7214147651 Practice locations: Scottsboro, AL

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
01D2153963Scottsboro Family Pharmacy201 Veterans Drive, Suite 101, Scottsboro, AL 35768Certificate of waiverSep 3, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Scottsboro Family Pharmacy LLC201 Veterans Dr, Scottsboro, AL 35768-2168(256) 259-9300 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Enteral Nutrients Accepts assignmentParticipating since Jan 8, 2019

National Provider Directory

National Provider Directory

Locations

201 Veterans Dr
Ste 101
Scottsboro, AL 35768
Phone (256) 259-9300

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1356439780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VETERANS DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682167",
            "telephone_number": "256-259-9300",
            "fax_number": "256-259-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VETERANS DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682167",
            "telephone_number": "256-259-9300",
            "fax_number": "256-259-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-259-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003588",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.