Organization Active NPI

Ladas Pharmacy

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1619022928
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
105940 Issued in AL
Legal business name
LADAS PHARMACY
Practice address
1050 S Broad St
Mobile, AL 36603-1038
Phone
(251) 432-5601
Fax
(251) 441-0012
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Mr. Harriet Louis Ladas
Title
Pharmacist
Phone
(251) 432-5601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 105940 AL
Community/Retail Pharmacy 3336C0003X 105940 AL Primary

Addresses

Primary practice location

1050 S Broad St
Mobile, AL 36603-1038

Mailing address

1050 S Broad St
Mobile, AL 36603-1038
Phone (251) 432-5601

Other identifiers 1

IdentifierTypeStateIssuer
100000306MedicaidAL

National Provider Directory

National Provider Directory

Locations

1050 S Broad St
Mobile, AL 36603
Phone (251) 432-5601

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1619022928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031038",
            "telephone_number": "251-432-5601",
            "fax_number": "251-441-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031038",
            "telephone_number": "251-432-5601",
            "fax_number": "251-441-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADAS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "LADAS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "251-432-5601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "105940",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "105940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000306",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.