Organization Active NPI

RJR Pharmaceutical Services

Doing business as Robert's Hometown Pharmacy

  • Community/Retail Pharmacy
  • Haleyville, AL
National Provider Identifier
1396285797
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114700 Issued in AL
Legal business name
RJR PHARMACEUTICAL SERVICES
Doing business as
Robert's Hometown Pharmacy
Practice address
2415 11TH Ave
Suite a
Haleyville, AL 35565-1627
Phone
(205) 486-4663
Fax
(205) 486-4668
NPI assigned
Mar 3, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Robert EllisNPI 1760783336
Title
Owner/Managing Member
Phone
(205) 486-0217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 114700 AL Primary

Addresses

Primary practice location

2415 11TH Ave
Suite a
Haleyville, AL 35565-1627

Mailing address

2415 11TH Ave
Suite a
Haleyville, AL 35565-1627
Phone (205) 486-4663

Other identifiers 1

IdentifierTypeStateIssuer
2168159OtherPK

Other names 1

  • Robert's Hometown Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RJR Pharmaceutical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2415 11th Ave
Ste A
Haleyville, AL 35565
Phone (205) 486-4663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1396285797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 11TH AVE",
            "address_2": "SUITE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651627",
            "telephone_number": "205-486-4663",
            "fax_number": "205-486-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 11TH AVE",
            "address_2": "SUITE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651627",
            "telephone_number": "205-486-4663",
            "fax_number": "205-486-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJR PHARMACEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "205-486-0217"
    },
    "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": "114700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.