NPIMap

Organization Active NPI

Medical Arts Pharmacy Inc

  • Community/Retail Pharmacy
  • Dothan, AL
National Provider Identifier
1508917584
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110705 Issued in AL
Legal business name
MEDICAL ARTS PHARMACY INC
Practice address
219 Fortner St
Dothan, AL 36301-2405
Phone
(334) 794-4191
Fax
(334) 793-5742
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Larry Bond
Title
President and Owner
Phone
(334) 794-4191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 110705 AL Primary

Addresses

Primary practice location

219 Fortner St
Dothan, AL 36301-2405

Mailing address

219 Fortner St
Dothan, AL 36301-2405

Other identifiers 3

IdentifierTypeStateIssuer
0106078OtherOTHER ID NUMBER-COMMERCIAL NUMBER
00050286MedicaidAL
0106078OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1508917584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FORTNER ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 FORTNER ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012405",
            "telephone_number": "334-794-4191",
            "fax_number": "334-793-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "334-794-4191"
    },
    "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": "110705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0106078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00050286",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0106078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.