Active NPI
Dura Med Southeast, Inc.
Doing business as Southland Vital Care
- Specialty Pharmacy
- Evergreen, AL
National Provider Identifier
1679519854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 111970
- Legal business name
- DURA MED SOUTHEAST, INC.
- Doing business as
- Southland Vital Care
- Practice address
- 100 E Front St
Evergreen, AL 36401-2927 - Phone
- (251) 578-1333
- Fax
- (251) 578-1333
- NPI assigned
- Jun 22, 2006
- Last updated
- Sep 11, 2025
- 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
- Mr. Jack R. Floyd
- Title
- President
- Phone
- (251) 578-1333
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 111970 | AL | |
| Customized Equipment (DME) | 332BC3200X | 111970 | AL | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 111970 | AL | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 111970 | AL | |
| Pharmacy | 333600000X | 111970 | AL | |
| Community/Retail Pharmacy | 3336C0003X | 111970 | AL | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 111970 | AL | |
| Long Term Care Pharmacy | 3336L0003X | 111970 | AL | |
| Mail Order Pharmacy | 3336M0002X | 111970 | AL | |
| Specialty Pharmacy | 3336S0011X | 111970 | AL | Primary |
Addresses
Primary practice location
100 E Front St
Evergreen, AL 36401-2927
Mailing address
PO Box 190
Evergreen, AL 36401-0190
Phone (251) 578-1333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-05269 | Other | AL | BCBS |
| 16252100 | Other | OWCP |
Other names 1
- Southland Vital Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1679519854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364010190",
"telephone_number": "251-578-1333",
"fax_number": "251-578-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E FRONT ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364012927",
"telephone_number": "251-578-1333",
"fax_number": "251-578-1333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURA MED SOUTHEAST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FLOYD",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-578-1333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "AL",
"license": "111970",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "AL",
"license": "111970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515-05269",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "16252100",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southland Vital Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Evergreen, AL
- Conecuh County Health Dept Pri Care
- Conecuh County Health Dept STD
- Conecuh County Health Dept VFC Immun
- Kevin J Davis, DPT
- Dialysis Clinic Inc
- Dura-Med Southeast Inc
- Dura-Med Southeast Inc (Evergreen City Drugs)
- Kelsi Dykes, CLC
- Lakoya Edmonds, M.S.
- Encore Rehabilitation, Inc. (Encore Rehab of Evergreen)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.