Organization Active NPI

Ponder Pharmacy, Inc

Doing business as Ponder's Mountain Pharmacy

  • Community/Retail Pharmacy
  • Bryant, AL
National Provider Identifier
1780895748
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112932 Issued in AL
Legal business name
PONDER PHARMACY, INC
Doing business as
Ponder's Mountain Pharmacy
Practice address
29812 Alabama Highway 71
Bryant, AL 35958
Phone
(256) 597-4020
Fax
(256) 597-4077
NPI assigned
May 24, 2007
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PONDER PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Jennifer Ponder HicksNPI 1518163336
Title
Pharmd
Phone
(256) 597-4020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112932 AL Primary

Addresses

Primary practice location

29812 Alabama Highway 71
Bryant, AL 35958

Mailing address

29812 Al Highway 71
Bryant, AL 35958-5240
Phone (256) 597-4020

Other identifiers 2

IdentifierTypeStateIssuer
100039143MedicaidAL
008226274AMedicaidGA

Other names 1

  • Ponder's Mountain Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105000363 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5597884494 Practice locations: Bryant, AL

National Provider Directory

National Provider Directory
Part of
Ponder Pharmacy Inc

Locations

29812 AL Highway 71
Bryant, AL 35958
Phone (256) 597-4020

11997 S Main St
Trenton, GA 30752
Phone (706) 657-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1780895748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29812 AL HIGHWAY 71",
            "city": "BRYANT",
            "state": "AL",
            "postal_code": "359585240",
            "telephone_number": "256-597-4020",
            "fax_number": "256-597-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29812 ALABAMA HIGHWAY 71",
            "city": "BRYANT",
            "state": "AL",
            "postal_code": "35958",
            "telephone_number": "256-597-4020",
            "fax_number": "256-597-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDER PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONDER PHARMACY, INC",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "PONDER",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "256-597-4020"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039143",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008226274A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponder's Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponder's Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.