Active NPI
M&O Enterprises LLC
- Home Infusion Therapy Pharmacy
- Birmingham, AL
National Provider Identifier
1760425011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 112191
- Legal business name
- M&O ENTERPRISES LLC
- Practice address
- 2701 4TH Ave S
Birmingham, AL 35233-2707 - Phone
- (205) 251-8676
- Fax
- (205) 251-8677
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeb F Mitchell, PHARM.D.
- Title
- Owner
- Phone
- (205) 251-8676
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 112191 | AL | Primary |
Addresses
Primary practice location
2701 4TH Ave S
Birmingham, AL 35233-2707
Mailing address
2701 4TH Ave S
Birmingham, AL 35233-2707
Phone (205) 251-8676
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009908075 | Medicaid | AL | |
| 51512591 | Other | AL | BLUE CROSS ALABAMA DME |
| 51513268 | Other | AL | BLUE CROSS AL HOME HEALTH |
| 100003408 | Medicaid | AL |
Other names 1
- Solutions Infusion Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098951 | AL | DME Supplier - Pharmacy | 0446465819 | Practice locations: Birmingham, AL |
National Provider Directory
National Provider Directory- Tax ID family
- Mo Enterprises LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Birmingham, AL
- NPI 1124155262
-
- Home Infusion Therapy Pharmacy
- Birmingham, AL
- NPI 1033246178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1760425011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 4TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332707",
"telephone_number": "205-251-8676",
"fax_number": "205-251-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 4TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332707",
"telephone_number": "205-251-8676",
"fax_number": "205-251-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&O ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JEB",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-251-8676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "AL",
"license": "112191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009908075",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALABAMA DME",
"identifier": "51512591",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AL HOME HEALTH",
"identifier": "51513268",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100003408",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Solutions Infusion Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.