Organization Active NPI

Medical Center Pharmacy, LLC

  • Community/Retail Pharmacy
  • Sheffield, AL
National Provider Identifier
1386005247
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
106701 Issued in AL
Legal business name
MEDICAL CENTER PHARMACY, LLC
Practice address
507 N Columbia Ave
Sheffield, AL 35660-2935
Phone
(256) 381-4311
Fax
(256) 386-0903
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Michael Sigmon
Title
Owner
Phone
(423) 312-3191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 106701 AL Primary

Addresses

Primary practice location

507 N Columbia Ave
Sheffield, AL 35660-2935

Mailing address

507 N Columbia Ave
Sheffield, AL 35660-2935
Phone (256) 381-4311

Other identifiers 1

IdentifierTypeStateIssuer
2158814OtherPK

Other names 1

  • Medical Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817000347 AL Part B Supplier - Mass Immunization (Roster Biller Only) 9436408895 Practice locations: Sheffield, AL

National Provider Directory

National Provider Directory

Locations

507 N Columbia Ave
Sheffield, AL 35660
Phone (256) 381-4311

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1386005247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N COLUMBIA AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602935",
            "telephone_number": "256-381-4311",
            "fax_number": "256-386-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N COLUMBIA AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602935",
            "telephone_number": "256-381-4311",
            "fax_number": "256-386-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-312-3191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center 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 Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.