Organization Active NPI

Special Formula Prescriptions Inc

Doing business as Special Formula Prescriptions

  • Compounding Pharmacy
  • Mountain BRK, AL
National Provider Identifier
1568527711
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
111716 Issued in AL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.