Medical Arts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

106617 Issued in AL

Legal business name

MEDICAL ARTS PHARMACY INC

Practice address

1190 Highland Dr
Elba, AL 36323-1434

Phone

(334) 897-2511

Fax

(334) 897-2511

NPI assigned

Oct 13, 2006

Organization subpart

No

Name

Robert Roberson, RPH

Title

Owner and Pharmacist

Phone

(334) 897-2511

Locations

• MEDICAL ARTS PHARMACY INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2011.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1427148337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 HIGHLAND DR",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 HIGHLAND DR",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231434",
            "telephone_number": "334-897-2511",
            "fax_number": "334-897-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "334-897-2511",
        "authorized_official_credential": "RPH"
    },
    "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": "106617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001184",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0111651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.