Medicine Shoppe 0804 Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MEDICINE SHOPPE 0804 INC

Practice address

2006 Danville Rd SW Ste C
Decatur, AL 35601-4640

Phone

(256) 350-3338

Fax

(256) 350-9829

NPI assigned

Oct 2, 2020

Last updated

Oct 13, 2022By 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

Jonathan Pritchard, PHARMACISTNPI 1821682006

Title

Ceo

Phone

(256) 350-3338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Pritchard

  • Pharmacist
  • Decatur, AL
  • NPI 1821682006
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1699372771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 DANVILLE RD SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014640",
            "telephone_number": "256-350-3338",
            "fax_number": "256-350-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 DANVILLE RD SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014640",
            "telephone_number": "256-350-3338",
            "fax_number": "256-350-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE 0804 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-350-3338",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Decatur, AL
• Providers in Decatur, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.