Alabama LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ALABAMA LTC PHARMACY LLC

Doing business as

Alabama LTC Pharmacy

Practice address

611 McFarland Blvd Ste D
Northport, AL 35476-3333

Phone

(205) 632-5455

Fax

(205) 333-6201

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 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

Logan Davis

Title

President

Phone

(205) 632-5455

Specialties & licenses 2

Addresses

Other names 1

• Alabama LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1750914545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MCFARLAND BLVD STE D",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MCFARLAND BLVD STE D",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763333",
            "telephone_number": "205-632-5455",
            "fax_number": "205-333-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-632-5455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Northport, AL
• Providers in Northport, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.