Active NPI
Special Formula Prescriptions Inc
Doing business as Special Formula Prescriptions
- Compounding Pharmacy
- Mountain BRK, AL
National Provider Identifier
1568527711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 111716
- Legal business name
- SPECIAL FORMULA PRESCRIPTIONS INC
- Doing business as
- Special Formula Prescriptions
- Practice address
- 3918 Montclair Rd
Ste 203
Mountain BRK, AL 35213-2425 - Phone
- (205) 871-7445
- Fax
- (205) 871-7446
- NPI assigned
- Dec 27, 2006
- Last updated
- Nov 20, 2014
- 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
- David Benefield
- Title
- President
- Phone
- (205) 871-7445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | 111716 | AL | Primary |
Addresses
Primary practice location
3918 Montclair Rd
Ste 203
Mountain BRK, AL 35213-2425
Mailing address
3918 Montclair Rd
Ste 203
Mountain BRK, AL 35213-2425
Phone (205) 871-7445
Other names 1
- Special Formula Prescriptions
National Provider Directory
National Provider DirectoryLocations
3918 Montclair Rd
Ste 203
Mountain Brk, AL 35213
Phone (205) 871-7445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416441600000",
"number": "1568527711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD",
"address_2": "STE 203",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132425",
"telephone_number": "205-871-7445",
"fax_number": "205-871-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD",
"address_2": "STE 203",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132425",
"telephone_number": "205-871-7445",
"fax_number": "205-871-7446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL FORMULA PRESCRIPTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2014-11-20",
"status": "A",
"authorized_official_last_name": "BENEFIELD",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-871-7445"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "AL",
"license": "111716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Special Formula Prescriptions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.