Organization Active NPI

D.W. McMillan Memorial Hospital / Escambia County Health Authority

  • Institutional Pharmacy
  • Brewton, AL
National Provider Identifier
1508169277
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
180052 Issued in AL
Legal business name
D.W. MCMILLAN MEMORIAL HOSPITAL / ESCAMBIA COUNTY HEALTH AUTHORITY
Practice address
1301 Belleville Ave
P O Drawer 908
Brewton, AL 36426-1306
Phone
(251) 809-8390
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Charles Kemp
Title
Director of Pharmacy
Phone
(251) 809-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 180052 AL Primary

Addresses

Primary practice location

1301 Belleville Ave
P O Drawer 908
Brewton, AL 36426-1306

Mailing address

1301 Belleville Ave
P.O. Drawer 908
Brewton, AL 36426-1306
Phone (251) 809-8390

Other identifiers 1

IdentifierTypeStateIssuer
0136881OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • D.W. McMillan Memorial Hospital / Escambia County Health Aut Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aholland@echca.cernerdirect.com Direct
Direct Messaging Address pparker@echca.cerenerdirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
McMillan Staff Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

  • Direct secure messaging: aholland@echca.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1508169277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BELLEVILLE AVE",
            "address_2": "P.O. DRAWER 908",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261306",
            "telephone_number": "251-809-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BELLEVILLE AVE",
            "address_2": "P O DRAWER 908",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261306",
            "telephone_number": "251-809-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.W. MCMILLAN MEMORIAL HOSPITAL / ESCAMBIA COUNTY HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "251-809-8390"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AL",
            "license": "180052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0136881",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aholland@echca.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "D W McMillan Pharmacy Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1301 Belleville Ave",
            "city": "Brewton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364261306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pparker@echca.cerenerdirect.com",
            "affiliation": "N",
            "endpointDescription": "D W McMillan Pharmacy Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1301 Belleville Ave",
            "city": "Brewton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364261306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "D.W. McMillan Memorial Hospital / Escambia County Health Aut",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D.W. McMillan Memorial Hospital / Escambia County Health Aut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.