Organization Active NPI

Gadsden Pharmacy LLC

Doing business as Gadsden City Pharmacy

  • Community/Retail Pharmacy
  • Gadsden, AL
National Provider Identifier
1720078447
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GADSDEN PHARMACY LLC
Doing business as
Gadsden City Pharmacy
Practice address
911 Rainbow Dr
Gadsden, AL 35901-5309
Phone
(256) 547-4479
Fax
(256) 549-0577
NPI assigned
Oct 25, 2005
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Mrs. Melissa Ann Leslie, RPHNPI 1437290525
Title
Pharmacist Owner
Phone
(256) 547-4479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

911 Rainbow Dr
Gadsden, AL 35901-5309

Mailing address

911 Rainbow Dr
Gadsden, AL 35901-5309
Phone (256) 547-4479

Other identifiers 3

IdentifierTypeStateIssuer
10003590MedicaidAL
112564OtherALSTATE BOARD OF PHARMACY
0132706OtherALNCPDP

Other names 1

  • Gadsden City Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930049675 AL DME Supplier - Pharmacy 5799703419 Practice locations: Gadsden, AL
O20210420001834 AL Part B Supplier - Independent Clinical Laboratory 5799703419 Practice locations: Gadsden, AL
O20250520004709 AL Part B Supplier - Pharmacy 5799703419 Practice locations: Gadsden, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2049433Gadsden City Pharmacy911 Rainbow Drive, Gadsden, AL 35901Certificate of waiverNov 5, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gadsden Pharmacy LLC911 Rainbow Dr, Gadsden, AL 35901-5309(256) 547-4479 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Dec 13, 2005

National Provider Directory

National Provider Directory

Locations

911 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-4479

Practitioners & affiliated clinicians

Practitioners 4

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1720078447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015309",
            "telephone_number": "256-547-4479",
            "fax_number": "256-549-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015309",
            "telephone_number": "256-547-4479",
            "fax_number": "256-549-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "256-547-4479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10003590",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "112564",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0132706",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gadsden City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gadsden City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.