Organization Active NPI

Harbin Pharmacy Inc

Doing business as Harbin Discount Pharmacy #2

  • Community/Retail Pharmacy
  • Mountain BRK, AL
National Provider Identifier
1629125778
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
105040 Issued in AL
Legal business name
HARBIN PHARMACY INC
Doing business as
Harbin Discount Pharmacy #2
Practice address
57 Church St
Ste a
Mountain BRK, AL 35213-3701
Phone
(205) 871-1296
Fax
(205) 871-6845
NPI assigned
Jan 4, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jerry Newman, RPHNPI 1306026463
Title
Owner/Ao
Phone
(205) 871-4438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 105040 AL Primary
Institutional Pharmacy 3336I0012X NU
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

57 Church St
Ste a
Mountain BRK, AL 35213-3701

Mailing address

57 Church St
Mountain BRK, AL 35213-3701
Phone (205) 871-1296

Other identifiers 2

IdentifierTypeStateIssuer
1990478OtherPK
100001395MedicaidAL

Other names 1

  • HARBIN DISCOUNT PHARMACY #2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319001896 AL Part B Supplier - Pharmacy 7719006683 Practice locations: Mountain BRK, AL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

57 Church St
Mountain Brk, AL 35213
Phone (205) 871-2196

57 Church St
Ste A
Mountain Brk, AL 35213
Phone (205) 871-1296

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1629125778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CHURCH ST",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133701",
            "telephone_number": "205-871-1296",
            "fax_number": "205-871-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CHURCH ST",
            "address_2": "STE A",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133701",
            "telephone_number": "205-871-1296",
            "fax_number": "205-871-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-19",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "205-871-4438",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "105040",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001395",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBIN DISCOUNT PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.