Active NPI
Faf Inc
Doing business as HealthMart Pharmacy
- Community/Retail Pharmacy
- Huntsville, AL
National Provider Identifier
1437420817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 113849
- Legal business name
- FAF INC
- Doing business as
- HealthMart Pharmacy
- Practice address
- 2015 Sparkman Dr NW
Huntsville, AL 35810-3815 - Phone
- (256) 715-7475
- Fax
- (256) 715-7418
- NPI assigned
- Jan 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Watson, PHARMD
- Title
- Pharmacy Manager
- Phone
- (256) 705-6499
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 113849 | AL | Primary |
Addresses
Primary practice location
2015 Sparkman Dr NW
Huntsville, AL 35810-3815
Mailing address
2015 Sparkman Dr NW
Huntsville, AL 35810-3815
Phone (256) 715-7475
Other practice location 1
2599 Sparkman Dr NW Ste B
Huntsville, AL 35810-3868
Phone (256) 715-7475
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133532 | Other | PK | |
| 135348 | Medicaid | AL | |
| Q003930001 | Other | PTAN |
Other names 1
- HealthMart Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180529002792 | AL | Part B Supplier - Pharmacy | 8022373760 |
2 other NPIs on this enrollment Practice locations: Huntsville, AL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sparkman Pharmacy-Franklin
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1750839668
O20180529002792
-
dba Sparkman Pharmacy at Wellstone
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1922472026
O20180529002792
National Provider Directory
National Provider Directory- Tax ID family
- Faf Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2599 Sparkman Dr NW
Ste B
Huntsville, AL 35810
Phone (256) 715-7475
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Huntsville, AL
- NPI 1518570829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1437420817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 SPARKMAN DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103815",
"telephone_number": "256-715-7475",
"fax_number": "256-715-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 SPARKMAN DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103815",
"telephone_number": "256-715-7475",
"fax_number": "256-715-7418"
}
],
"practiceLocations": [
{
"address_1": "2599 Sparkman Dr NW Ste B",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358103868",
"country_code": "US",
"telephone_number": "256-715-7475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAF INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-18",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "256-705-6499",
"authorized_official_credential": "PHARMD"
},
"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": "113849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133532",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135348",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Q003930001",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthMart Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HealthMart Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Huntsville, AL
- Eyemasters Inc (EyeMasters)
- Alyssa Kathryne Ezell, CRNP
- Mario Fabre-Rivera, DNP, CRNP, FNP-BC
- Edward Craig Facundus, MD
- Tyler Joe Fadorsen, CRNP
- Faf Inc (Sparkman Pharmacy-Franklin)
- Faf Inc (Sparkman Pharmacy at Wellstone)
- Faf Inc (Sparkman Pharmacy at Wellstone)
- David A Fahey, M.D., PH.D.
- Natalie Marie Fahey, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.