NPIMap

Organization Active NPI

Quality of Life Health Services Inc.

Doing business as Roberta Watts Medical Center Pharmacy

  • Pharmacy
  • Gadsden, AL
National Provider Identifier
1790922672
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
113224 Issued in AL
Legal business name
QUALITY OF LIFE HEALTH SERVICES INC.
Doing business as
Roberta Watts Medical Center Pharmacy
Practice address
1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone
(256) 439-6402
Fax
(256) 492-9147
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Derrick Austin
Title
Pharmacy Director
Phone
(256) 439-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 113224 AL Primary

Addresses

Primary practice location

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Mailing address

PO Box 97
Gadsden, AL 35902-0097

Other identifiers 1

IdentifierTypeStateIssuer
0135788OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ROBERTA WATTS MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gad Neighborhood HLT CLN30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

203 Tallapoosa St
Wadley, AL 36276
Phone (256) 395-4157

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1790922672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013005",
            "telephone_number": "256-439-6402",
            "fax_number": "256-492-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "256-439-6402"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "113224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0135788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERTA WATTS MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.