Active NPI
BW Retail Pharmacy LLC
- Community/Retail Pharmacy
- Birmingham, AL
National Provider Identifier
1659627800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 113942
- Legal business name
- BW RETAIL PHARMACY LLC
- Practice address
- 2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804 - Phone
- (205) 877-2000
- Fax
- (205) 877-2997
- NPI assigned
- Jul 25, 2012
- 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
- Christy Bryant, PIC
- Title
- Pharmacist in Charge
- Phone
- (205) 877-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 113942 | AL | Primary |
Addresses
Primary practice location
2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Mailing address
2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136292 | Other | PK | |
| 178128 | Medicaid | AL |
Other names 1
- Brookwood Medical Plus
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1659627800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 BROOKWOOD MEDICAL CTR DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096804",
"telephone_number": "205-877-1000",
"fax_number": "205-877-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 BROOKWOOD MEDICAL CTR DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096804",
"telephone_number": "205-877-2000",
"fax_number": "205-877-2997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BW RETAIL PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-25",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "205-877-1000",
"authorized_official_credential": "PIC"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "113942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136292",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178128",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookwood Medical Plus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.