NPIMap

Organization Active NPI

Star Discount Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Madison, AL
National Provider Identifier
1487632147
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
111666 Issued in AL
Legal business name
STAR DISCOUNT PHARMACY INC
Practice address
7950 Highway 72 W
Madison, AL 35758-6416
Phone
(256) 721-0739
Fax
(256) 721-0778
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Darden W Heritage, R PH
Title
President
Phone
(256) 534-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 111666 AL Primary

Addresses

Primary practice location

7950 Highway 72 W
Madison, AL 35758-6416

Mailing address

8020 Highway 72 W Ste G
Madison, AL 35758-9567
Phone (256) 721-0739

Other identifiers 2

IdentifierTypeStateIssuer
51530840OtherALBCBS OF AL
009933203MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080930000672 AL Part B Supplier - Mass Immunization (Roster Biller Only) 2264509447 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, AL
O20100930029697 AL DME Supplier - Pharmacy 2264509447 Practice locations: Madison, AL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Star Discount Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

8020 Highway 72 W
#G
Madison, AL 35758
Phone (256) 721-0739

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1487632147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 HIGHWAY 72 W STE G",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589567",
            "telephone_number": "256-721-0739",
            "fax_number": "256-721-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586416",
            "telephone_number": "256-721-0739",
            "fax_number": "256-721-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "DARDEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-534-1118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "111666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51530840",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933203",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.

Verify at the official NPI Registry.