Gardendale Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113842 Issued in AL

Legal business name

GARDENDALE PHARMACY LLC

Doing business as

Gardendale Pharmacy, LLC

Practice address

210 Fieldstown Rd
Gardendale, AL 35071-2408

Phone

(205) 285-8135

Fax

(205) 487-3079

NPI assigned

Dec 6, 2011

Last updated

Dec 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett SpeegleNPI 1679163745

Title

Owner

Phone

(205) 487-3079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gardendale Pharmacy, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Speegle, RPH

  • Pharmacist
  • Winfield, AL
  • NPI 1679163745
  Authorized official Same address or phone

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1447528492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712408",
            "telephone_number": "205-285-8135",
            "fax_number": "205-487-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712408",
            "telephone_number": "205-285-8135",
            "fax_number": "205-487-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-487-3079"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0137453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardendale Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gardendale Family Dentistry
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• Gardendale Medical Center
• Gardendale Oral Surgery, P.C.
• Gardendale Pain and Wellness, LLC
• Gardendale Physician Associates, P.C.
• Gardendale Surgical Associates
• Gardendale Surgical Associates, LLC
• Currant Garrett, MA, CCC-SLP
• Jennifer Garrison, LPC

• Community/Retail Pharmacy in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.