North Baldwin Family Pharmacy, LLC,

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTH BALDWIN FAMILY PHARMACY, LLC,

Practice address

2012 Hand Ave
Bay Minette, AL 36507-4115

Phone

(251) 937-9623

Fax

(251) 937-2250

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Green Chastang, RPH

Title

Pharmacist

Phone

(251) 937-9623

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1780650911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074115",
            "telephone_number": "251-937-9623",
            "fax_number": "251-937-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074115",
            "telephone_number": "251-937-9623",
            "fax_number": "251-937-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BALDWIN FAMILY PHARMACY, LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "CHASTANG",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "251-937-9623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "4305",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009969140",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000087",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Luray Nice, OD
• Tiera Nordan, M.A., BCBA, LBA
• North Baldwin Dentistry & Facial Aesthetics, PLLC
• North Baldwin EMS, LLC
• North Baldwin Family Medical, P.C.
• North Baldwin Family Physicians, P.C.
• North Baldwin Health & Wellness, LLC
• North Baldwin OB GYN PC
• North Baldwin Pediatrics LLC
• North Baldwin Physicians for Women, PC

• Community/Retail Pharmacy in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.