Active NPI
SRX LLC
Doing business as Saraland Pharmacy
- Community/Retail Pharmacy
- Saraland, AL
National Provider Identifier
1437532843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114496
- Legal business name
- SRX LLC
- Doing business as
- Saraland Pharmacy
- Practice address
- 106A Saraland Loop Rd
Saraland, AL 36571 - Phone
- (251) 675-3333
- Fax
- (251) 675-9333
- NPI assigned
- Jul 2, 2015
- Last updated
- Nov 28, 2023
- 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
- Kelly Stinson, PHARMD
- Title
- President/Supervising Pharmacist
- Phone
- (251) 675-3333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 114496 | AL | Primary |
Addresses
Primary practice location
106A Saraland Loop Rd
Saraland, AL 36571
Mailing address
106A Saraland Loop Rd
Saraland, AL 36571
Phone (251) 675-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176556 | Medicaid | AL | |
| 2152956 | Other | PK |
Other names 1
- Saraland Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151021002049 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9032428693 | Practice locations: Saraland, AL |
| O20200527002887 | AL | Part B Supplier - Pharmacy | 9032428693 | Practice locations: Saraland, AL |
| O20240326000978 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577900596 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mobile, AL; Saraland, AL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Royal Street Pharmacy
- Community/Retail Pharmacy
- Mobile, AL
- NPI 1023512829
O20240326000978
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2105156 | Saraland Pharmacy | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- JKLD II LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
301 E Three Notch St
Andalusia, AL 36420
Phone (334) 222-8825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1437532843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106A SARALAND LOOP RD",
"city": "SARALAND",
"state": "AL",
"postal_code": "36571",
"telephone_number": "251-675-3333",
"fax_number": "251-675-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106A SARALAND LOOP RD",
"city": "SARALAND",
"state": "AL",
"postal_code": "36571",
"telephone_number": "251-675-3333",
"fax_number": "251-675-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-02",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "STINSON",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT/SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "251-675-3333",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176556",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2152956",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saraland Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Saraland Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saraland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.