Florala Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Evergreen, AL
NPI 1497242580 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1497242580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 114790 (AL)
- Legal business name
- FLORALA PHARMACY INC
- Practice address
- 451 W Front St
Evergreen, AL 36401-3280 - Phone
- (251) 578-2273
- Fax
- (251) 578-0003
- NPI assigned
- Apr 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Charles Thomas Smith, PD
- Title
- Owner/Pharmacist
- Phone
- (251) 578-2273
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201203002954 | AL | Part B Supplier - Pharmacy | 2668515883 | Practice locations: Evergreen, AL |
National Provider Directory
- Tax ID family
- Florala Pharmac
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114790 | AL | Yes |
Addresses
Primary practice location
451 W Front St
Evergreen, AL 36401-3280
Mailing address
23355 5TH Ave
Florala, AL 36442-3818
Phone (334) 858-3291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176706 | Other | PK | |
| 215095 | Medicaid | AL |
Other names
- Pharmacare Evergreen
Other providers in Evergreen, AL
- Evergreen Medical Center LLC
- Evergreen Medical Center LLC
- Evergreen Medical Center LLC
- Evergreen Nursing Home, LLC
- Haley Nobles Falkenberry
- Franklin Primary Health Center, Inc
- Franklin Primary Health Center, Inc
- Elizabeth L Godwin
- Whitley Roberts Harper
- Kimberly Harrison
All providers in Evergreen, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.