Active NPI
Medical Arts Pharmacy Inc
- Community/Retail Pharmacy
- Opelika, AL
National Provider Identifier
1477692184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 107320
- Legal business name
- MEDICAL ARTS PHARMACY INC
- Practice address
- 121 N 20TH St
BLD 1
Opelika, AL 36801-5454 - Phone
- (334) 745-5756
- Fax
- (334) 749-2102
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Edward Miller, RPH
- Title
- Owner
- Phone
- (334) 745-5756
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 107320 | AL | Primary |
Addresses
Primary practice location
121 N 20TH St
BLD 1
Opelika, AL 36801-5454
Mailing address
121 N 20TH St
BLD 1
Opelika, AL 36801-5454
Phone (334) 745-5756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000433 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110224000598 | AL | Part B Supplier - Pharmacy | 7315128253 | Practice locations: Opelika, AL |
National Provider Directory
National Provider DirectoryLocations
121 N 20th St
Ste 1
Opelika, AL 36801
Phone (334) 745-5290
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Opelika, AL
- NPI 1578611596
-
- Pharmacist
- Opelika, AL
- NPI 1104133131
-
- Student in an Organized Health Care Education/Training Program
- Opelika, AL
- NPI 1528595774
-
- Pharmacy Technician
- Opelika, AL
- NPI 1083141204
-
- Pharmacist
- Opelika, AL
- NPI 1437423720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301356800000",
"number": "1477692184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N 20TH ST",
"address_2": "BLD 1",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015454",
"telephone_number": "334-745-5756",
"fax_number": "334-749-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 20TH ST",
"address_2": "BLD 1",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015454",
"telephone_number": "334-745-5756",
"fax_number": "334-749-2102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2011-03-29",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-745-5756",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "107320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000433",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.