Organization Active NPI

Bruno'S Supermarkets, LLC.

  • Community/Retail Pharmacy
  • Oxford, AL
National Provider Identifier
1487769675
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRUNO'S SUPERMARKETS, LLC.
Practice address
828 Quintard Dr
Oxford, AL 36203-1802
Phone
(205) 831-1232
Fax
(256) 835-2584
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
BRUNO'S SUPERMARKETS, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Curtis Hartin
Title
Sr. Director of Pharmacy
Phone
(864) 213-2584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 111732 AL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

828 Quintard Dr
Oxford, AL 36203-1802

Mailing address

PO Box 99
Mauldin, SC 29662-0099
Phone (864) 213-2587

Other identifiers 1

IdentifierTypeStateIssuer
0129987OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Food Max Pharmacy #240 Doing business as

National Provider Directory

National Provider Directory
Part of
Bruno'S Supermarket LLC

Locations

828 Quintard Dr
Oxford, AL 36203
Phone (205) 831-1232

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1487769675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620099",
            "telephone_number": "864-213-2587",
            "fax_number": "864-213-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 QUINTARD DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031802",
            "telephone_number": "205-831-1232",
            "fax_number": "256-835-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNO'S SUPERMARKETS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUNO'S SUPERMARKETS, LLC.",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HARTIN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "864-213-2584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "111732",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0129987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food Max Pharmacy #240",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.