NPIMap

Organization Active NPI

The East Alabama Health Care Authority

Doing business as East Alabama Apothecary Store 4

  • Community/Retail Pharmacy
  • Auburn, AL
National Provider Identifier
1356931364
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE EAST ALABAMA HEALTH CARE AUTHORITY
Doing business as
East Alabama Apothecary Store 4
Practice address
900 Camp Auburn Rd Ste P101
Auburn, AL 36832-4746
Phone
(334) 364-3050
NPI assigned
Jan 23, 2021
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

900 Camp Auburn Rd Ste P101
Auburn, AL 36832-4746

Mailing address

900 Camp Auburn Rd Ste P101
Auburn, AL 36832-4746
Phone (334) 364-3050

Other names 1

  • East Alabama Apothecary Store 4 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180917001379 AL Part B Supplier - Pharmacy 5890046742 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, AL; Opelika, AL
O20241118003268 AL Part B Supplier - Pharmacy 3072403237 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, AL; Opelika, AL
O20250613001084 AL DME Supplier - Pharmacy 3072403237 Practice locations: Auburn, AL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The East Alabama Health Care Author900 Camp Auburn Rd, Auburn, AL 36832-4746(334) 364-3050 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
East Alabama Medical Cent24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Member organizations 28

Organizations listed as members of this organization in the National Provider Directory.

View all 28

Locations

900 Camp Auburn Rd
Ste P101
Auburn, AL 36832
Phone (334) 364-3050

900 Cp Auburn Rd
Auburn University, AL 36849

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eamc-Lanier Rural Emergency HospitalValley, AL, CCN 010780 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2024
Eamc - Lanier Nursing HomeValley, AL, CCN 015045 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF
Direct Ownership Interest (100%)		 Feb 1, 2014
Feb 1, 2014
Feb 28, 2025
Feb 1, 2014
Homecare of East Alabama HealthAuburn, AL, CCN 017129 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jun 1, 2009

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1356931364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAMP AUBURN RD STE P101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368324746",
            "telephone_number": "334-364-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CAMP AUBURN RD STE P101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368324746",
            "telephone_number": "334-364-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Alabama Apothecary Store 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.