NPIMap

Organization Active NPI

Triad RX, Inc.

  • Compounding Pharmacy
  • Daphne, AL
National Provider Identifier
1770839771
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
113869 Issued in AL
Legal business name
TRIAD RX, INC.
Doing business as
Triad Rx, Inc.
Practice address
26258 Pollard Rd
Daphne, AL 36526-4250
Phone
(251) 380-7630
Fax
(251) 380-7631
NPI assigned
Jul 27, 2012
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Robert RobertsNPI 1437658689
Title
Pharmacist in Charge
Phone
(251) 380-7630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Mail Order Pharmacy 3336M0002X NU
Compounding Pharmacy 3336C0004X 113869 AL Primary

Addresses

Primary practice location

26258 Pollard Rd
Daphne, AL 36526-4250

Mailing address

PO Box 1530
Daphne, AL 36526-1530
Phone (251) 380-7630

Other identifiers 1

IdentifierTypeStateIssuer
0138049OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Triad Rx, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

26258 Pollard Rd
Daphne, AL 36526
Phone (251) 380-7630

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1770839771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1530",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261530",
            "telephone_number": "251-380-7630",
            "fax_number": "251-380-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26258 POLLARD RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264250",
            "telephone_number": "251-380-7630",
            "fax_number": "251-380-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "251-380-7630"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "113869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0138049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Rx, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.