NPIMap

Organization Active NPI

Specialized Medical Device, Inc.

  • Pharmacy
  • Huntsville, AL
National Provider Identifier
1558344002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
111051 Issued in AL
Legal business name
SPECIALIZED MEDICAL DEVICE, INC.
Practice address
2905 Westcorp Blvd SW
Suite 112
Huntsville, AL 35805-6411
Phone
(256) 536-7676
Fax
(256) 536-7638
NPI assigned
Nov 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael A Killian
Title
Ceo
Phone
(256) 536-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 111051 AL Primary

Addresses

Primary practice location

2905 Westcorp Blvd SW
Suite 112
Huntsville, AL 35805-6411

Mailing address

2905 Westcorp Blvd SW
Suite 112
Huntsville, AL 35805-6411
Phone (256) 536-7676

National Provider Directory

National Provider Directory
Tax ID family
Specialized Medical Device Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2905 Westcorp Blvd SW
Ste 112
Huntsville, AL 35805
Phone (256) 536-7676

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558344002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 WESTCORP BLVD SW",
            "address_2": "SUITE 112",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056411",
            "telephone_number": "256-536-7676",
            "fax_number": "256-536-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 WESTCORP BLVD SW",
            "address_2": "SUITE 112",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056411",
            "telephone_number": "256-536-7676",
            "fax_number": "256-536-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED MEDICAL DEVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-536-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "111051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.