Organization Active NPI

SRX LLC

Doing business as Saraland Pharmacy

  • Community/Retail Pharmacy
  • Saraland, AL
National Provider Identifier
1437532843
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114496 Issued in AL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
176556MedicaidAL
2152956OtherPK

Other names 1

  • Saraland Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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.

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
01D2105156Saraland Pharmacy106A Saraland Loop Rd, Saraland, AL 36571Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
JKLD II LLC3 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.