NPIMap

Organization Active NPI

Jefferson Health System Pharmacy

  • Pharmacy
  • Birmingham, AL
National Provider Identifier
1588604334
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
140009 Issued in AL
Legal business name
JEFFERSON HEALTH SYSTEM PHARMACY
Practice address
2817 30TH Ave N
Birmingham, AL 35207-4541
Phone
(205) 521-6855
Fax
(205) 521-6854
NPI assigned
Jun 8, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Glen ThompsonNPI 1073630778
Title
Director of Pharmacy
Phone
(205) 918-2352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 140009 AL Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

2817 30TH Ave N
Birmingham, AL 35207-4541

Mailing address

601 West Blvd
Birmingham, AL 35206-1300
Phone (205) 838-4310

Other identifiers 2

IdentifierTypeStateIssuer
100003671MedicaidAL
0124507OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Cooper Green Mercy Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1588604334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061300",
            "telephone_number": "205-838-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 30TH AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074541",
            "telephone_number": "205-521-6855",
            "fax_number": "205-521-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTH SYSTEM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "205-918-2352"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "140009",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003671",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0124507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.