The East Alabama Health Care Authority
Organization Active NPI Community/Retail Pharmacy · Auburn, AL
NPI 1356931364 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1356931364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- THE EAST ALABAMA HEALTH CARE AUTHORITY
- Practice address
- 900 Camp Auburn Rd Ste P101
Auburn, AL 36832-4746 - Phone
- (334) 364-3050
- NPI assigned
- Jan 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Samuel A Price Jr.
- Title
- Cfo
- Phone
- (334) 528-1310
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 23
Member of 1
Practitioners 119
-
Christy Michelle Ballard, FNP-C
-
Kressida Cain Benson, M.D.
-
Kerri Bevis, MD
-
Jinghua Bian, NP-C
-
William Forrest Bonner, CRNP
-
Merri Lynn Carroll, MSN,FNP-C
-
Brooke Causland, CRNP
-
Haley Lane Clay, DO
-
James Robert Cobb Jr., D.O.
-
Lawanar Coleman, CRNP
-
James D Crosby, MD
-
Nathan Terry Douthit, M.D.
-
Morgan Duke, CRNP
-
Andrew Eden, CRNP
-
Sarah Faison, CRNP
-
Brandi P Fetner, CRNP
-
Jayme Gardner, NP-C
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The East Alabama Health Care Author |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Eamc-Lanier Rural Emergency Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2024 |
| Eamc - Lanier Nursing Home |
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 Health |
Home health agency | 5% Or Greater Direct Ownership Interest (25%) | Jun 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Bethany House of East Alabama Medical Center
Locations
900 Camp Auburn Rd
Ste P101
Auburn, AL 36832
Phone (334) 364-3050
900 Cp Auburn Rd
Auburn University, AL 36849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| 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
- East Alabama Apothecary Store 4
Other providers in Auburn, AL
- Paige Lorraine Taylor
- Megan Teresin
- Richmond Bohler Terry III
- Ryan E Terry
- Allyn M Thames III
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The East Alabama Health Care Authority
- The Eye Doctor,LLC
- The Heart Center Cardiology, PC
All providers in Auburn, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.