Druid City Infusion Clinics LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

DRUID CITY INFUSION CLINICS LLC

Doing business as

Druid City Infusion - AIC
Druid City Infusion Clinics

Practice address

1325 McFarland Blvd Ste 203
Northport, AL 35476-3275

Phone

(205) 409-9601

NPI assigned

Oct 10, 2018

Last updated

Nov 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Logan E. Davis

Title

Owner

Phone

(205) 499-4507

Specialties & licenses 1

Addresses

Other names 2

• Druid City Infusion - AIC Doing business as
• Druid City Infusion Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Druid City Infusion

  dba Druid City Vital Care

  • Home Infusion Therapy Pharmacy
  • Northport, AL
  • NPI 1306277397

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Otis Waits, M.D.

  • Surgery Physician
  • Northport, AL
  • NPI 1396779161
  Medicare reassignment

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1538634191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWNCENTER BLVD STE 111A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD STE 203",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763275",
            "telephone_number": "205-409-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUID CITY INFUSION CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-499-4507"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Druid City Infusion - AIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Druid City Infusion Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Robert W. Eaton, PC
• Drayer Physical Therapy Alabama LLC
• Druid City Infusion (Druid City Vital Care)
• Druid City Infusion (Druid City Vital Care)
• Druid City Infusion (Druid City Vital Care)
• Anna Prater Drury, CRNP, FNP
• Tamara Quisette Dudley
• Duncan Pedorthics Inc
• Dutch Pharmacies Inc (Family Pharmacy of Northport)
• Dva Healthcare Renal Care Inc (Northport Dialysis)

• Infusion Therapy Clinic/Center in Northport, AL
• Providers in Northport, AL by specialty
• Infusion Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.