Active NPI
Double Springs Pharmacy LLC
- Community/Retail Pharmacy
- Double Springs, AL
National Provider Identifier
1508313800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114657
- Legal business name
- DOUBLE SPRINGS PHARMACY LLC
- Practice address
- 26289 Highway 195
Double Springs, AL 35553-2554 - Phone
- (205) 489-2572
- Fax
- (205) 489-3722
- NPI assigned
- Sep 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Dalton
- Title
- Owner
- Phone
- (205) 489-2572
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114657 | AL | Primary |
Addresses
Primary practice location
26289 Highway 195
Double Springs, AL 35553-2554
Mailing address
300 N Dean Rd Suite 5
PMB 202
Auburn, AL 36830
Phone (334) 886-2442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192145 | Medicaid | AL | |
| 2164140 | Other | PK |
Other names 1
- Gateway Family Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1508313800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N DEAN RD SUITE 5",
"address_2": "PMB 202",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-886-2442",
"fax_number": "334-886-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26289 HIGHWAY 195",
"city": "DOUBLE SPRINGS",
"state": "AL",
"postal_code": "355532554",
"telephone_number": "205-489-2572",
"fax_number": "205-489-3722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUBLE SPRINGS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-02",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-489-2572"
},
"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": "114657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192145",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2164140",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Family Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gateway Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Double Springs, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.