NPIMap

Organization Active NPI

Parks Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
National Provider Identifier
1457539710
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
113050 Issued in AL
Legal business name
PARKS PHARMACY
Practice address
1323 Mulberry St Ste a
Montgomery, AL 36106-1545
Phone
(334) 264-1416
Fax
(334) 264-1426
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
La Sonya Glover
Title
President
Phone
(334) 799-1489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 113050 AL Primary
Pharmacy 333600000X

Addresses

Primary practice location

1323 Mulberry St Ste a
Montgomery, AL 36106-1545

Mailing address

PO Box 250310
Montgomery, AL 36125-0310
Phone (334) 799-1489

Other identifiers 2

IdentifierTypeStateIssuer
1996241OtherPK
100003578MedicaidAL

Other names 1

  • PARKS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parks Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1457539710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250310",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361250310",
            "telephone_number": "334-799-1489",
            "fax_number": "334-375-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 MULBERRY ST STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061545",
            "telephone_number": "334-264-1416",
            "fax_number": "334-264-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "LA SONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-799-1489"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "113050",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996241",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003578",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.