Active NPI
Montgomery AIDS Outreach Inc
- Community/Retail Pharmacy
- Montgomery, AL
National Provider Identifier
1679004436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114705
- Legal business name
- MONTGOMERY AIDS OUTREACH INC
- Doing business as
- Medical Advocacy and Outreach- Copeland Care Pharmacy
- Practice address
- 2900 McGehee Rd
Montgomery, AL 36111-2151 - Phone
- (334) 239-9692
- Fax
- (334) 356-2529
- NPI assigned
- Mar 23, 2017
- 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
- Ashley Tarrant
- Title
- Chief Operations Officer (Coo)
- Phone
- (334) 280-3349
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114705 | AL | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2900 McGehee Rd
Montgomery, AL 36111-2151
Mailing address
PO Box 11087
Montgomery, AL 36111-0087
Phone (334) 280-3349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2168269 | Other | PK | |
| 197966 | Medicaid | AL |
Other names 1
- Medical Advocacy and Outreach- Copeland Care Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Medical Advocacy and Outreach- Copeland Care Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Montgomery, AL
- NPI 1699316471
Locations
2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1679004436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11087",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361110087",
"telephone_number": "334-280-3349",
"fax_number": "334-281-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MCGEHEE RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112151",
"telephone_number": "334-239-9692",
"fax_number": "334-356-2529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY AIDS OUTREACH INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-23",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "TARRANT",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER (COO)",
"authorized_official_telephone_number": "334-280-3349"
},
"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": "114705",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2168269",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197966",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Advocacy and Outreach- Copeland Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.