Parks Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114277 Issued in AL

Legal business name

PARKS PHARMACY INC

Doing business as

Parks Pharmacy #4

Practice address

1323 Mulberry St Ste a
Montgomery, AL 36106-1545

Phone

(334) 264-1416

Fax

(877) 827-1288

NPI assigned

Oct 14, 2010

Last updated

Jul 3, 2020By 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

La Sonya Glover

Title

President

Phone

(323) 314-4680

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PARKS PHARMACY #4 Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Parks Pharmacy4 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.

• Parks Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
  • NPI 1457539710
  NPD tax ID
• Parks Pharmacy Inc

  dba Parks Pharmacy #1

  • Community/Retail Pharmacy
  • Hayneville, AL
  • NPI 1215058797
  NPD tax ID
• Parks Pharmacy Inc

  • Community/Retail Pharmacy
  • Gadsden, AL
  • NPI 1831405588
  NPD tax ID

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1649580531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250310",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361250310",
            "telephone_number": "334-264-1416",
            "fax_number": "877-827-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 MULBERRY ST STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061545",
            "telephone_number": "334-264-1416",
            "fax_number": "877-827-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "LA SONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-314-4680"
    },
    "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": "114277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKS PHARMACY #4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARKS PHARMACY #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirby Parker, MD
• Leigh Virginia Parker, CRNP
• Pamela Parker, PHARMD
• Parks Pharmacy
• Parks Pharmacy Inc (Parks Pharmacy #2)
• Blair Henderson Parks, MS, CCC-SLP
• Dee Parks, R.PH
• Vandarius Parks
• Shayna Parlette, CRNP
• Edward Scott Parma, M.D.

• Community/Retail Pharmacy in Montgomery, AL
• Providers in Montgomery, 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 Jul 3, 2020; 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.