BBMB LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BBMB LLC

Practice address

607A Boll Weevil Cir
Enterprise, AL 36330-2733

Phone

(334) 347-4242

NPI assigned

Nov 15, 2020

Organization subpart

No

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

Authorized official

Name

Stacy Boucher, PHARMD, RPHNPI 1588267587

Title

Owner/Pharmacist

Phone

(334) 347-4242

Specialties & licenses 1

Addresses

Other names 1

• Center Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Boucher, PHARMD

  • Pharmacist
  • Daleville, AL
  • NPI 1588267587
  NPD Authorized official
• Jeremy Willette

  • Pharmacist
  • Enterprise, AL
  • NPI 1760765960
  NPD

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1386246262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607A BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302733",
            "telephone_number": "334-347-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302733",
            "telephone_number": "334-347-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBMB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "334-347-4242",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren R Banach, M.D.
• Barkley Counseling Center, LLC
• Astra Barkley, MS
• Macy Underwood Barley, MS, CCC-SLP
• Brianna Baxter
• Brittnee Beck, CRNP
• Deborah Ann Beckham, RPH
• Betty J Belisle, LPC
• Diana Beltran
• John T Bender Jr., O.D.

• All providers in Enterprise, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.