Injury Med Express Pharmacy LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

113782 Issued in AL

Legal business name

INJURY MED EXPRESS PHARMACY LLC

Doing business as

Injury Med Express Pharmacy

Practice address

1410 US Highway 98
Unit H
Daphne, AL 36526-5110

Phone

(888) 418-9808

Fax

(888) 484-5016

NPI assigned

Jul 20, 2011

Last updated

Feb 11, 2016By 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

Ashley Hammond

Title

Managing Consultant

Phone

(866) 832-2263

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Injury Med Express Pharmacy Doing business as

Tax ID family

Injury Med Express Pharmacy2 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.

• Injury Med Express Pharmacy, LLC

  • Mail Order Pharmacy
  • Miramar, FL
  • NPI 1700168788
  NPD tax ID

Locations

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1659669976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 US HIGHWAY 98",
            "address_2": "UNIT H",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265110",
            "telephone_number": "888-418-9808",
            "fax_number": "888-484-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 US HIGHWAY 98",
            "address_2": "UNIT H",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265110",
            "telephone_number": "888-418-9808",
            "fax_number": "888-484-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MED EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGING CONSULTANT",
        "authorized_official_telephone_number": "866-832-2263"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "NP000017",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AL",
            "license": "113782",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Med Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Daphne, AL
• Providers in Daphne, 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 Feb 11, 2016; 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.