Mills Pharmacy at Midfield LLC
Organization Active NPI Community/Retail Pharmacy · Midfield, AL
NPI 1669730719 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1669730719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 113894 (AL)
- Legal business name
- MILLS PHARMACY AT MIDFIELD LLC
- Practice address
- 30A Phillips Dr
Midfield, AL 35228-2233 - Phone
- (205) 925-7000
- Fax
- (205) 925-2959
- NPI assigned
- Apr 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Josh Hardin, PHARMD
- Title
- Owner
- Phone
- (205) 427-0955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151028000303 | AL | Part B Supplier - Pharmacy | 5092024364 | Practice locations: Midfield, AL |
National Provider Directory
Locations
30 Phillips Dr
#A
Midfield, AL 35228
Phone (205) 925-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 113894 | AL | Yes |
Addresses
Primary practice location
30A Phillips Dr
Midfield, AL 35228-2233
Mailing address
PO Box 26679
Birmingham, AL 35260-0679
Phone (205) 925-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134854 | Other | PK | |
| 1669730719 | Medicaid | AL |
Other names
- Mills Pharmacy at Midfield
Other providers in Midfield, AL
- Janell McKenzie
- Midfield Bessemer Dental P.C.
- Midfield City
- Midfield Dental Center Associates
- Erika Watkins Miller
- Babette Hartig Moore
- Laura Hales Morrison
- Leslie Nichols
- Nna of Alabama, Inc.
- Danielle Outlaw
All providers in Midfield, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.