Organization Active NPI

Ploppert Family LLC

  • Community/Retail Pharmacy
  • Cullman, AL
National Provider Identifier
1447323738
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PLOPPERT FAMILY LLC
Doing business as
cullman discount pharmacy
Practice address
1407 2ND Ave SW
Cullman, AL 35055-5310
Phone
(256) 734-4251
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mr. Charles Thomas Ploppert IIINPI 1487257671
Title
Owner
Phone
(256) 734-4251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1407 2ND Ave SW
Cullman, AL 35055-5310

Mailing address

1407 2ND Ave SW
Cullman, AL 35055-5310
Phone (256) 734-4251

Other identifiers 1

IdentifierTypeStateIssuer
100002690MedicaidAL

Other names 1

  • cullman discount pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930005619 AL DME Supplier - Pharmacy 8527179878 Practice locations: Cullman, AL
O20210907003066 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8527179878 Practice locations: Cullman, AL

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
01D2241472Cullman Discount Pharmacy1407 2ND Ave SW, Cullman, AL 35055Certificate of waiverOct 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ploppert Family LLC1407 2ND Ave SW, Cullman, AL 35055-5310(256) 734-4251 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Dec 31, 2000

National Provider Directory

National Provider Directory

Locations

1407 2nd Ave SW
Cullman, AL 35055
Phone (256) 734-4251

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1447323738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555310",
            "telephone_number": "256-734-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555310",
            "telephone_number": "256-734-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLOPPERT FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "PLOPPERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-734-4251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002690",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cullman discount pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.