Organization Active NPI

Strata Therapies Elcott and Associates

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Birmingham, AL
National Provider Identifier
1366517690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
06010518 Issued in AL
Legal business name
STRATA THERAPIES ELCOTT AND ASSOCIATES
Practice address
609 Lorna Square
Birmingham, AL 35216
Phone
(205) 824-2085
Fax
(205) 824-2086
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael P Elcott, RFO ABC CERTIFIED O
Title
President
Phone
(205) 824-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 06010518 AL Primary

Addresses

Primary practice location

609 Lorna Square
Birmingham, AL 35216

Mailing address

609 Lorna Square
Birmingham, AL 35216
Phone (205) 824-2085

Other identifiers 1

IdentifierTypeStateIssuer
51048943OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

609 Lorna Sq
Hoover, AL 35216
Phone (205) 824-2085

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366517690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LORNA SQUARE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-824-2085",
            "fax_number": "205-824-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LORNA SQUARE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-824-2085",
            "fax_number": "205-824-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATA THERAPIES ELCOTT AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-824-2085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RFO  ABC CERTIFIED O"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "AL",
            "license": "06010518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51048943",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.