NPIMap

Organization Active NPI

Southern Family Markets LLC

Doing business as Southern Family Market

  • Community/Retail Pharmacy
  • Athens, AL
National Provider Identifier
1679666788
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112667 Issued in AL
Legal business name
SOUTHERN FAMILY MARKETS LLC
Doing business as
Southern Family Market
Practice address
625 Athens Town Center
Athens, AL 35611
Phone
(256) 771-7219
Fax
(256) 771-7725
NPI assigned
Oct 2, 2006
Last updated
Nov 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Tow
Title
Director of Pharmacy
Phone
(205) 912-4234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112667 AL Primary

Addresses

Primary practice location

625 Athens Town Center
Athens, AL 35611

Mailing address

PO Box 8500
Lockbox 8531
Philadelphia, PA 19178-8531

Other identifiers 2

IdentifierTypeStateIssuer
0133227OtherNCPDP PROVIDER IDENTIFICATION NUMBER
100003629MedicaidAL

Other names 1

  • SOUTHERN FAMILY MARKET Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Family Market27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1679666788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX 8531",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191788531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ATHENS TOWN CENTER",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-771-7219",
            "fax_number": "256-771-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "TOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "205-912-4234"
    },
    "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": "112667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0133227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003629",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN FAMILY MARKET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.