Aday Enterprises Inc
Organization Active NPI Community/Retail Pharmacy · Rogersville, AL
NPI 1467531129 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1467531129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 112878 (AL)
- Legal business name
- ADAY ENTERPRISES INC
- Practice address
- 2800 Highway 101
Rogersville, AL 35652-6046 - Phone
- (256) 247-5833
- Fax
- (256) 247-5834
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth Aday Jr
- Title
- Owner/President/Pic/Ao
- Phone
- (256) 247-5833
Practitioners 4
-
Aimee Kitchens Aday, PHARMD
-
Kenneth Wayne Aday Jr., PHARM.D.
-
Mason Bradley Drummond, PHARMD
-
Elon W Maddox III, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151111001393 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325269228 | Practice locations: Rogersville, AL |
National Provider Directory
Locations
2800 Highway 101
Rogersville, AL 35652
Phone (256) 247-5833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 112878 | AL | Yes |
Addresses
Primary practice location
2800 Highway 101
Rogersville, AL 35652-6046
Mailing address
2800 Highway 101
Rogersville, AL 35652-6046
Phone (256) 247-5833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115759 | Medicaid | AL | |
| 2123388 | Other | PK |
Other names
- Crossroads Pharmacy
Other providers in Rogersville, AL
- Abs 4 Life, LLC
- Kenneth Wayne Aday Jr.
- B&B Health Services, LLC
- Timothy Bailey
- Barnett Drugs Inc
- Marion Julia Barnett
All providers in Rogersville, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.