Organization Active NPI

Mills Pharmacy at Brookwood Inc

Doing business as Mills Pharmacy at Brookwood

  • Community/Retail Pharmacy
  • Brookwood, AL
National Provider Identifier
1710140710
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113118 Issued in AL
Legal business name
MILLS PHARMACY AT BROOKWOOD INC
Doing business as
Mills Pharmacy at Brookwood
Practice address
16114 Highway 216 Ste a
Brookwood, AL 35444-3756
Phone
(205) 556-1600
Fax
(205) 556-1777
NPI assigned
Jul 9, 2008
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Josh Hardin, PHARMD
Title
Owner
Phone
(205) 427-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113118 AL Primary

Addresses

Primary practice location

16114 Highway 216 Ste a
Brookwood, AL 35444-3756

Mailing address

PO Box 26679
Birmingham, AL 35260-0679
Phone (205) 871-9007

Other identifiers 2

IdentifierTypeStateIssuer
103087MedicaidAL
1996314OtherPK

Other names 1

  • Mills Pharmacy at Brookwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013000291 AL Part B Supplier - Pharmacy 4880728450 Practice locations: Brookwood, AL

National Provider Directory

National Provider Directory

Locations

16114 Highway 216
Brookwood, AL 35444
Phone (205) 556-1600

16114 Highway 216
#A
Brookwood, AL 35444
Phone (205) 556-1600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1710140710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26679",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352600679",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16114 HIGHWAY 216 STE A",
            "city": "BROOKWOOD",
            "state": "AL",
            "postal_code": "354443756",
            "telephone_number": "205-556-1600",
            "fax_number": "205-556-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PHARMACY AT BROOKWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-427-0955",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103087",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy at Brookwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Pharmacy at Brookwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookwood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.