NPIMap

Organization Active NPI

Star Discount Pharmacy Inc

Doing business as Star Discount Pharmacy

  • Community/Retail Pharmacy
  • Meridianville, AL
National Provider Identifier
1740268499
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112104 Issued in AL
Legal business name
STAR DISCOUNT PHARMACY INC
Doing business as
Star Discount Pharmacy
Practice address
12078 Highway 231 431 N
Meridianville, AL 35759-1225
Phone
(256) 829-0209
Fax
(256) 829-0992
NPI assigned
Jan 4, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Darden HeritageNPI 1841380722
Title
President
Phone
(256) 534-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112104 AL Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

12078 Highway 231 431 N
Meridianville, AL 35759-1225

Mailing address

12078 Highway 231 431 N
Meridianville, AL 35759-1225

Other identifiers 2

IdentifierTypeStateIssuer
0131209OtherNCPDP PROVIDER IDENTIFICATION NUMBER
100003302MedicaidAL

Other names 1

  • STAR DISCOUNT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080930000672 AL Part B Supplier - Mass Immunization (Roster Biller Only) 2264509447 1 other NPI on this enrollment
Practice locations: Madison, AL
O20100930050253 AL DME Supplier - Pharmacy 2264509447 1 other NPI on this enrollment
Practice locations: Meridianville, AL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Star Discount Pharmacy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1740268499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591225",
            "telephone_number": "256-829-0209",
            "fax_number": "256-829-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "DARDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-534-1118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112104",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0131209",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003302",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.