Elberta Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELBERTA PHARMACY, INC.

Practice address

24980 State St
Elberta, AL 36530-0670

Phone

(251) 986-8115

Fax

(251) 986-3062

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Tonja Marie Lowery, RPH

Title

Owner Pharmacist

Phone

(251) 986-8115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710071873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 670",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365300670",
            "telephone_number": "251-986-8115",
            "fax_number": "251-986-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365300670",
            "telephone_number": "251-986-8115",
            "fax_number": "251-986-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERTA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "251-986-8115",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Elberta, AL
• Providers in Elberta, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.