NPIMap

Organization Active NPI

University of Alabama at Birmingham

Doing business as Community HLTH SVCS-Family Phy

  • Clinic Pharmacy
  • Birmingham, AL
National Provider Identifier
1437258373
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
111175 Issued in AL
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Doing business as
Community HLTH SVCS-Family Phy
Practice address
930 20TH St S
Birmingham, AL 35205-2610
Phone
(205) 975-7792
Fax
(205) 975-6962
NPI assigned
Sep 21, 2006
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Jennifer Peterson, PHARMD
Title
Director of Ambulatory Operati
Phone
(205) 934-7862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 111175 AL Primary

Addresses

Primary practice location

930 20TH St S
Birmingham, AL 35205-2610

Mailing address

1201 11TH Ave S
3Rd Floor Pharmacy
Birmingham, AL 35205-3410
Phone (205) 930-7585

Other identifiers 2

IdentifierTypeStateIssuer
100010012MedicaidAL
1993075OtherPK

Other names 1

  • COMMUNITY HLTH SVCS-FAMILY PHY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert T Brown MD48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

1201 11th Ave S
Fl 3
Birmingham, AL 35205
Phone (205) 478-4976

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1437258373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "3RD FLOOR PHARMACY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-930-7585",
            "fax_number": "205-930-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 20TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052610",
            "telephone_number": "205-975-7792",
            "fax_number": "205-975-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF AMBULATORY OPERATI",
        "authorized_official_telephone_number": "205-934-7862",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "AL",
            "license": "111175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010012",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY HLTH SVCS-FAMILY PHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.