Proxycare of Alabama Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

113500 Issued in AL

Legal business name

PROXYCARE OF ALABAMA INC

Doing business as

Proxycare Alabama Inc

Practice address

120 Oxmoor Blvd Ste 120
Birmingham, AL 35209-5921

Phone

(205) 769-9771

Fax

(205) 769-9772

NPI assigned

Jan 25, 2011

Last updated

Feb 24, 2011By 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

Maria FandettiNPI 1831260587

Title

President

Phone

(205) 441-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Proxycare Alabama Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Maria Cruz Fandetti, RPH

  • Pharmacist
  • Hallandale, FL
  • NPI 1831260587
  NPD Authorized official

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1700181542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OXMOOR BLVD",
            "address_2": "SUITE 120",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095953",
            "telephone_number": "205-769-9771",
            "fax_number": "205-769-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OXMOOR BLVD STE 120",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095921",
            "telephone_number": "205-769-9771",
            "fax_number": "205-769-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXYCARE OF ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "FANDETTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-441-2477"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "113500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0136944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proxycare Alabama Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Protective Life (Protective Life BHS Clinic)
• Proton International Alabama, LLC (Proton International at UAB)
• Carl Ross Provenzano, DDS
• Providence Family Psychiatry, P.C.
• Shaneka Lynette Prowell
• Sandra Katharina Prucka, MS
• Kalyan Prudhvi, MD
• Angie Smith Pruett, MS CCC-SLP
• Brandon Scott Pruett, M.D., PH.D.
• Brittany Rebecca Hinten Pruett, MD

• Long Term Care Pharmacy in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.