Caredirect RX of Jackson, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

114123 Issued in AL

Legal business name

CAREDIRECT RX OF JACKSON, LLC

Doing business as

CareDirect Rx of Jackson, LLC

Practice address

112 Celtic Dr Ste 200a
Madison, AL 35758-1800

Phone

(256) 325-2148

Fax

(256) 325-2168

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Porter McCollister

Title

Manager

Phone

(205) 414-6681

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CareDirect Rx of Jackson, LLC Doing business as

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1649619222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531144",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352531144",
            "telephone_number": "205-414-6681",
            "fax_number": "205-930-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CELTIC DR STE 200A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581800",
            "telephone_number": "256-325-2148",
            "fax_number": "256-325-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREDIRECT RX OF JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "MCCOLLISTER",
        "authorized_official_first_name": "PORTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-414-6681"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AL",
            "license": "114123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareDirect Rx of Jackson, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Madison, AL
• Providers in Madison, AL by specialty
• Mail Order Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.