Organization Active NPI

East Point Pharmacy, LLC

  • Community/Retail Pharmacy
  • Jasper, AL
National Provider Identifier
1417150954
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112961 Issued in AL
Legal business name
EAST POINT PHARMACY, LLC
Doing business as
EAST POINT PHARMACY
Practice address
1442 Jones Dairy Rd.
Jasper, AL 35501
Phone
(205) 221-5595
Fax
(205) 221-5531
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Teresa Hindman Sherer, PHARMACIST
Title
Part Owner
Phone
(205) 221-5595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112961 AL Primary

Addresses

Primary practice location

1442 Jones Dairy Rd.
Jasper, AL 35501

Mailing address

1442 Jones Dairy Rd.
Jasper, AL 35501
Phone (205) 221-5595

Other identifiers 1

IdentifierTypeStateIssuer
100039163MedicaidAL

Other names 1

  • EAST POINT PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2100096East Point Pharmacy1442 Jones Dairy Road, Jasper, AL 35501Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

1442 Jones Dairy Rd
Jasper, AL 35501
Phone (205) 221-5595

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1417150954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 JONES DAIRY RD.",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-221-5595",
            "fax_number": "205-221-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 JONES DAIRY RD.",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-221-5595",
            "fax_number": "205-221-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "SHERER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "HINDMAN",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "205-221-5595",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039163",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST POINT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.