Guardian Pharmacy of Birmingham LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

112927 Issued in AL

Legal business name

GUARDIAN PHARMACY OF BIRMINGHAM LLC

Practice address

201 London Pkwy Ste 400
Birmingham, AL 35211-4498

Phone

(205) 879-5300

Fax

(205) 879-5320

NPI assigned

May 9, 2007

Last updated

Aug 13, 2021By 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

Philip Boyd

Title

President

Phone

(205) 879-5300

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Guardian Pharmacy of Birmingham LLC

  • Long Term Care Pharmacy
  • Jasper, AL
  • NPI 1184013799

  1254535974

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Guardian Pharmacy of Birmingham LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Guardian Pharmacy of Birmingham LLC

  • Long Term Care Pharmacy
  • Jasper, AL
  • NPI 1184013799
  NPD tax ID
• Guardian Pharmacy of Birmingham LLC

  dba Southern Pharmaceutical Services

  • Long Term Care Pharmacy
  • Irondale, AL
  • NPI 1831129519
  NPD tax ID
• Guardian Pharmacy of Birmingham LLC

  dba Guardian Pharmacy of Alabama

  • Long Term Care Pharmacy
  • Huntsville, AL
  • NPI 1932024189
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1588878722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF BIRMINGHAM DEPT 2397",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-810-0089",
            "fax_number": "404-521-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LONDON PKWY STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352114498",
            "telephone_number": "205-879-5300",
            "fax_number": "205-879-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Crestwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "352102034",
            "country_code": "US",
            "telephone_number": "205-879-5300",
            "fax_number": "205-879-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF BIRMINGHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-879-5300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "112927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039157",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Grace Grundhoefer
• Andrew Grush, MD
• GTD Medical Inc
• David Xiaofan Gu
• Lisa Xiaosha Gu
• Danalynn Guasteferro, D.P.M.
• Evan Guay, DO
• Sudha Sreeramulu Gudapati, MD
• Bhargavi Guddanti
• Noah Elise Gudel, D.O.

• Long Term Care Pharmacy in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.