Organization Active NPI

Howard Pharmacy LLC

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1497055347
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
109668 Issued in AL
Legal business name
HOWARD PHARMACY LLC
Practice address
2152 Airport Blvd Ste 107
Mobile, AL 36606-1751
Phone
(251) 479-2424
Fax
(251) 479-5234
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Clinton R Howard, PHARM D
Title
Owner
Phone
(251) 479-2424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 109668 AL Primary

Addresses

Primary practice location

2152 Airport Blvd Ste 107
Mobile, AL 36606-1751

Mailing address

2152 Airport Blvd Ste 107
Mobile, AL 36606-1751
Phone (251) 479-2424

Other identifiers 3

IdentifierTypeStateIssuer
126563MedicaidAL
2127460OtherPK
12632MedicaidAL

Other names 1

  • MIDTOWN PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210325001414 AL Part B Supplier - Pharmacy 6204243942 Practice locations: Mobile, AL
O20210401002300 AL DME Supplier - Pharmacy 6204243942 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1497055347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD STE 107",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061751",
            "telephone_number": "251-479-2424",
            "fax_number": "251-479-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD STE 107",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061751",
            "telephone_number": "251-479-2424",
            "fax_number": "251-479-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-479-2424",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126563",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127460",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12632",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.