Organization Active NPI

Bubba'S Pharmaceutical Care, Inc

  • Pharmacist
  • Opelika, AL
National Provider Identifier
1720056534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
112495 Issued in AL
Legal business name
BUBBA'S PHARMACEUTICAL CARE, INC
Practice address
207 N 6TH St
Opelika, AL 36801-4229
Phone
(334) 745-7242
Fax
(334) 745-1510
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William M Young, PHARMACIST
Title
Owner
Phone
(334) 745-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 112495 AL Primary

Addresses

Primary practice location

207 N 6TH St
Opelika, AL 36801-4229

Mailing address

207 N 6TH St
Opelika, AL 36801-4229
Phone (334) 745-7242

Other identifiers 1

IdentifierTypeStateIssuer
0132530OtherALNCPDP

National Provider Directory

National Provider Directory

Locations

207 N 6th St
Opelika, AL 36801
Phone (334) 737-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720056534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N 6TH ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014229",
            "telephone_number": "334-745-7242",
            "fax_number": "334-745-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N 6TH ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014229",
            "telephone_number": "334-745-7242",
            "fax_number": "334-745-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBBA'S PHARMACEUTICAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-745-7242",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "112495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0132530",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • 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.