Active NPI
Dixie Independent Enterprises, LLC
Doing business as Anderson Pharmacy
- Pharmacy
- Altoona, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 101165
- Legal business name
- DIXIE INDEPENDENT ENTERPRISES, LLC
- Doing business as
- Anderson Pharmacy
- Practice address
- 7101 Etowah St
Altoona, AL 35952 - Phone
- (205) 589-6557
- Fax
- (205) 589-6553
- NPI assigned
- Jun 25, 2013
- Last updated
- Dec 4, 2020
- 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. Gabriel Argo, PHARMD
- Title
- Ower
- Phone
- (205) 589-6557
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | |||
| Pharmacy | 333600000X | 101165 | AL | Primary |
| Pharmacy | 333600000X |
Addresses
Primary practice location
7101 Etowah St
Altoona, AL 35952
Mailing address
PO Box 7
Altoona, AL 35952
Phone (205) 589-6557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001368 | Medicaid | AL |
Other names 1
- Anderson Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210310002974 | AL | Part B Supplier - Pharmacy | 8820404189 | Practice locations: Altoona, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2195311 | Anderson Pharmacy | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
7101 Etowah St
Altoona, AL 35952
Phone (205) 589-6557
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Altoona, AL
- NPI 1639655590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607040000000",
"number": "1780024679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "ALTOONA",
"state": "AL",
"postal_code": "35952",
"telephone_number": "205-589-6557",
"fax_number": "205-589-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 ETOWAH ST",
"city": "ALTOONA",
"state": "AL",
"postal_code": "35952",
"telephone_number": "205-589-6557",
"fax_number": "205-589-6553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIXIE INDEPENDENT ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-25",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A",
"authorized_official_last_name": "ARGO",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "OWER",
"authorized_official_telephone_number": "205-589-6557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "101165",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001368",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.