Organization Active NPI

BB Pharms, Inc.

Doing business as BB Pharmacy

  • Pharmacist
  • Daleville, AL
National Provider Identifier
1538257597
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10807 Issued in AL
Legal business name
BB PHARMS, INC.
Doing business as
BB Pharmacy
Practice address
174 Virginia Ave
Daleville, AL 36322-2306
Phone
(334) 503-9799
Fax
(334) 503-9919
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Robert J Oliver, RPH.
Title
President Pharmacist
Phone
(334) 503-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 10807 AL Primary

Addresses

Primary practice location

174 Virginia Ave
Daleville, AL 36322-2306

Mailing address

174 Virginia Ave
Daleville, AL 36322-2306
Phone (334) 503-9799

Other identifiers 4

IdentifierTypeStateIssuer
009971455MedicaidAL
0131918OtherALNCPDP
1538257597OtherNPI
100003495MedicaidAL

Other names 1

  • BB Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

174 Virginia Ave
Daleville, AL 36322
Phone (334) 503-9799

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1538257597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 VIRGINIA AVE",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363222306",
            "telephone_number": "334-503-9799",
            "fax_number": "334-503-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 VIRGINIA AVE",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363222306",
            "telephone_number": "334-503-9799",
            "fax_number": "334-503-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BB PHARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "334-503-9799",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971455",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0131918",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538257597",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BB Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daleville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.