Smiths Station Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114499 Issued in AL

Legal business name

SMITHS STATION PHARMACY LLC

Practice address

2828 Lee Road 430
Smiths Station, AL 36877-2571

Phone

(334) 408-6106

Fax

(334) 408-6108

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Amie Flournoy

Title

Owner/Pic/Ao

Phone

(706) 573-6106

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Smiths Station Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1750765137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 LEE ROAD 430",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368772571",
            "telephone_number": "334-408-6106",
            "fax_number": "334-408-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 LEE ROAD 430",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368772571",
            "telephone_number": "334-408-6106",
            "fax_number": "334-408-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHS STATION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FLOURNOY",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "706-573-6106"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179255",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiths Station Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiths Station Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursie Mae Thomas, ATTENDANT CARE
• Trenton Watson, NP
• Kenya Denise Whitehorn, MS

• Community/Retail Pharmacy in Smiths Station, AL
• Providers in Smiths Station, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.