Southern Medical, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

110489 Issued in AL

Legal business name

SOUTHERN MEDICAL, INC.

Practice address

2159 Rocky Ridge Rd
Suite 123
Hoover, AL 35216

Phone

(205) 822-1972

Fax

(205) 822-2821

NPI assigned

Jul 28, 2006

Last updated

Jun 25, 2008By 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

Mr. T. Michael Nelson

Title

President

Phone

(205) 822-1972

Specialties & licenses 5

Addresses

Other identifiers 5

Locations

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.

• Joe L. McNamara, RPH

  • Nutrition Support Pharmacist
  • Hoover, AL
  • NPI 1114004397
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1770597262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 ROCKY RIDGE RD",
            "address_2": "SUITE 123",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-822-1972",
            "fax_number": "205-822-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 ROCKY RIDGE RD",
            "address_2": "SUITE 123",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-822-1972",
            "fax_number": "205-822-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "T. MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-822-1972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "AL",
            "license": "110489",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "110489",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AL",
            "license": "110489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009703250",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOME HEALTH PROVIDER",
            "identifier": "51527724",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002722",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER",
            "identifier": "51057969",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP NUMBER",
            "identifier": "0128199",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Haven Health and Rehabilitation, LLC
• South Trace Pediatrics, P.C.
• Southeast Hospice Network, LLC
• Southeastern Plastic Surgery Institute
• Southern Care Internal Medicine PC
• Southern Orthopaedic Alliance, PLLC
• Southern Perioperative Services P C
• Southern Smiles
• Elizabeth M. Southern
• Southlake Dental Care Management

• Home Infusion Therapy Pharmacy in Hoover, AL
• Providers in Hoover, AL by specialty
• Home Infusion Therapy Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.