Cleburne Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

102545 Issued in AL

Legal business name

CLEBURNE PHARMACY LLC

Doing business as

Cleburne Pharmacy

Practice address

875 Ross St
Heflin, AL 36264-1131

Phone

(256) 463-2197

Fax

(256) 463-2306

NPI assigned

Jul 8, 2006

Last updated

Sep 11, 2025By 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

Frank Tant, PHARMDNPI 1528327681

Title

Owner/Pic/Ao

Phone

(256) 463-2197

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Cleburne Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Tax ID family

Cleburne Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cleburne Pharmacy LLC

  • Long Term Care Pharmacy
  • Heflin, AL
  • NPI 1528892395
  NPD tax ID

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.

• Frank B Tant, PHARM. D.

  • Pharmacist
  • Heflin, AL
  • NPI 1528327681
  Authorized official Same address or phone

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649203365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641131",
            "telephone_number": "256-463-2197",
            "fax_number": "256-463-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641131",
            "telephone_number": "256-463-2197",
            "fax_number": "256-463-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "256-463-2197",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "102545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000653",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleburne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleburne County Health Dept VFC Immun
• Cleburne County Hospital Board Inc (Cleburne County EMS)
• Cleburne County Hospital Board, Inc. (Cleburne County Nursing Home)
• Cleburne Medical Clinic, Inc.
• Cleburne Pharmacy LLC
• Ryan Crosby
• Paul Del Giudice, LICSW
• Durable Medical Equipment, Inc (Bowdon Homecare)
• Elite Rehab Heflin LLC
• Essential Living LLC

• Community/Retail Pharmacy in Heflin, AL
• Providers in Heflin, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.