Nelms, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

101597 Issued in AL

Legal business name

NELMS, LLC

Doing business as

Big Bear Discount Drugs

Practice address

203 W Lee St
Tuskegee, AL 36083-1719

Phone

(334) 727-2150

Fax

(334) 727-6504

NPI assigned

Jan 17, 2007

Last updated

Jan 23, 2018By 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

Trae Nelms

Title

Owner

Phone

(334) 727-2150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Big Bear Discount Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1780736959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W LEE ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831719",
            "telephone_number": "334-727-2150",
            "fax_number": "334-727-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W LEE ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831719",
            "telephone_number": "334-727-2150",
            "fax_number": "334-727-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "TRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-727-2150"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "101597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001785",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Bear Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Big Bear Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Lanell Mose, LGSW
• Sandria Mosley, LMSW
• Suryarao Mudragada, M.D.
• Deidra Munnerlyn, LGSW
• Christy R Myers
• Vania Renee Nelson, LGSW
• New Horizons
• Debora Anita Nichols, RPH
• Tammie Norton
• Mary Elizabeth O'Barr, PHARMD

• Pharmacist in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.

Verify at the official NPI Registry.