Active NPI
Ladas Pharmacy
- Community/Retail Pharmacy
- Mobile, AL
National Provider Identifier
1619022928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 105940
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000306 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.