Active NPI
Mills Pharmacy at Brookwood Inc
Doing business as Mills Pharmacy at Brookwood
- Community/Retail Pharmacy
- Brookwood, AL
National Provider Identifier
1710140710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 113118
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103087 | Medicaid | AL | |
| 1996314 | Other | PK |
Other names 1
- Mills Pharmacy at Brookwood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151013000291 | AL | Part B Supplier - Pharmacy | 4880728450 | Practice locations: Brookwood, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Homewood, AL
- NPI 1548558844
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.