Coosa Valley Apothecary LL

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COOSA VALLEY APOTHECARY LL

Practice address

315 W Hickory St Ste 150
Sylacauga, AL 35150-2913

Phone

(256) 401-4534

Fax

(256) 401-4603

NPI assigned

Apr 4, 2019

Last updated

Apr 8, 2019By 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

Mr. Roland Thacker

Title

Cfo

Phone

(256) 401-4534

Specialties & licenses 1

Addresses

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.

• Janice Carol Brown

  • In Home Supportive Care Agency
  • Chelsea, AL
  • NPI 1215692553
  NPD

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1588126809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST STE 150",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4534",
            "fax_number": "256-401-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST STE 150",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4534",
            "fax_number": "256-401-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA VALLEY APOTHECARY LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-401-4534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Andrew Cibulski, M.D.
• Joel E Cochran, DMD
• Complete Vitality LLC (MedSpine)
• Adrienne Shavonne Conner
• Coosa Valley - Aristo ER, LLC
• Coosa Valley Chiropractic Center,Inc.
• Coosa Valley Healthcare Center LLC
• Coosa Valley Hearing Clinic, Inc
• Coosa Valley Homecare, LLC (Adoration Home Health)
• Coosa Valley Pediatrics

• Community/Retail Pharmacy in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.