NPIMap

Organization Active NPI

Sunsouth Diabetic Solutions, LLC

  • Community/Retail Pharmacy
  • Decatur, AL
National Provider Identifier
1487767067
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112436 Issued in AL
Legal business name
SUNSOUTH DIABETIC SOLUTIONS, LLC
Practice address
830 McGlathery LN SE Ste a
Decatur, AL 35601-6029
Phone
(256) 560-0178
Fax
(256) 350-8152
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
William Kirk Sherrill
Title
Owner
Phone
(256) 560-0178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 112436 AL
Community/Retail Pharmacy 3336C0003X 112436 AL Primary

Addresses

Primary practice location

830 McGlathery LN SE Ste a
Decatur, AL 35601-6029

Mailing address

830 McGlathery LN SE Ste a
Decatur, AL 35601-6029
Phone (256) 560-0178

Other identifiers 2

IdentifierTypeStateIssuer
51515338OtherALBCBS ALABAMA
0132326OtherALNCPDP PHARMACY NUMBER

Other names 1

  • DECATUR PHARMACY & DIABETIC SUPPLY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1487767067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MCGLATHERY LN SE STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016029",
            "telephone_number": "256-560-0178",
            "fax_number": "256-350-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MCGLATHERY LN SE STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016029",
            "telephone_number": "256-560-0178",
            "fax_number": "256-350-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSOUTH DIABETIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-560-0178"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "112436",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "51515338",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PHARMACY NUMBER",
            "identifier": "0132326",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DECATUR PHARMACY & DIABETIC SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.