Darbys Village Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Andalusia, AL
NPI 1467701706 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1467701706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 113953 (AL)
- Legal business name
- DARBYS VILLAGE PHARMACY INC
- Practice address
- 822A S Three Notch St
Andalusia, AL 36420-5310 - Phone
- (334) 582-3784
- Fax
- (334) 582-3785
- NPI assigned
- Aug 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Laura Darby
- Title
- Pharmacist/Secretary
- Phone
- (334) 582-3784
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 2
-
Laura G Darby, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130828000488 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092958793 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Andalusia, AL |
National Provider Directory
- Tax ID family
- Darby'S Medical Center Pharmacy
Locations
822A S Three Notch St
Andalusia, AL 36420
Phone (334) 582-3784
822 S Three Notch St
#A
Andalusia, AL 36420
Phone (334) 582-3784
301A E Three Notch St
Andalusia, AL 36420
Phone (334) 222-8825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 113953 | AL | Yes |
Addresses
Primary practice location
822A S Three Notch St
Andalusia, AL 36420-5310
Mailing address
822A S Three Notch St
Andalusia, AL 36420-5310
Phone (334) 582-3784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141288 | Medicaid | AL | |
| 2136604 | Other | PK |
Other names
- Darby's Medical Center Pharmacy
Other providers in Andalusia, AL
- Covington Womens Healthcare LLC
- Lindsey Crutchfield
- Coralea V Dalrymple
- David Stephen Darby
- Laura G Darby
- Darbys Village Pharmacy Inc
- David M. McCalman II, M.D., P.C.
- Amy Coates Davis
- Carmelita M Day
- Timothy G Day
All providers in Andalusia, 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 Feb 23, 2017. 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.