Heritage Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

200374 Issued in AL

Legal business name

HERITAGE PHARMACY, INC.

Practice address

3151 Knollwood Dr
Mobile, AL 36693-2753

Phone

(251) 661-7600

Fax

(251) 602-9160

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Henry B Fulgham

Title

Vice President of Operations

Phone

(251) 343-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780775700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 COTTAGE HILL RD",
            "address_2": "SUITE G",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093113",
            "telephone_number": "251-666-0250",
            "fax_number": "251-660-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932753",
            "telephone_number": "251-661-7600",
            "fax_number": "251-602-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULGHAM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "251-343-9600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "200374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Henson
• William Randal Duncan Henson, DO
• Dana Maria Herazo, RD,LD,CDE
• Andrea N. Herbert, PT
• Heritage Dental Group USA.LLC
• Heritage Woods Operations, LLC (Elmcroft of Heritage Woods)
• Gina Hermon
• Amber Nicole Hernandez-Sexton
• Jeremy Tod Herren
• Alma M Herrera, M.D.

• Pharmacy in Mobile, AL
• Providers in Mobile, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.