NPIMap

Organization Active NPI

Health SVC Inc

Doing business as Montgomery Primery Care

  • Specialty Pharmacy
  • Montgomery, AL
National Provider Identifier
1396785143
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
110355 Issued in AL
Legal business name
HEALTH SVC INC
Doing business as
Montgomery Primery Care
Practice address
3060 Mobile Hwy
Montgomery, AL 36108-4027
Phone
(334) 293-6670
Fax
(334) 293-6671
NPI assigned
Jun 8, 2006
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
R Allen McDaniel, RPH
Title
Phcy Director
Phone
(334) 263-2301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Specialty Pharmacy 3336S0011X 110355 AL Primary

Addresses

Primary practice location

3060 Mobile Hwy
Montgomery, AL 36108-4027

Mailing address

3060 Mobile Hwy
Montgomery, AL 36108-4027
Phone (334) 293-6670

Other identifiers 2

IdentifierTypeStateIssuer
0125155OtherNCPDP PROVIDER IDENTIFICATION NUMBER
10002635MedicaidAL

Other names 1

  • MONTGOMERY PRIMERY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Flora D Kayfan MD19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1396785143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084027",
            "telephone_number": "334-293-6670",
            "fax_number": "334-293-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084027",
            "telephone_number": "334-293-6670",
            "fax_number": "334-293-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SVC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "R ALLEN",
        "authorized_official_title_or_position": "PHCY DIRECTOR",
        "authorized_official_telephone_number": "334-263-2301",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AL",
            "license": "110355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0125155",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10002635",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY PRIMERY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.