Mills Pharmacy at Eutaw LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114808 Issued in AL

Legal business name

MILLS PHARMACY AT EUTAW LLC

Doing business as

Mills Pharmacy at Eutaw

Practice address

306 Morrow Ave
Eutaw, AL 35462-1108

Phone

(205) 372-0500

Fax

(205) 372-0015

NPI assigned

May 8, 2018

Last updated

Apr 10, 2020By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other identifiers 2

Other names 1

• Mills Pharmacy at Eutaw Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1750870598",
    "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": "306 MORROW AVE",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354621108",
            "telephone_number": "205-372-0500",
            "fax_number": "205-372-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PHARMACY AT EUTAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114808",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215422",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy at Eutaw",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Pharmacy at Eutaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Eutaw, AL
• Providers in Eutaw, 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 Apr 10, 2020; 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.