Organization Active NPI

Pharmacy of Madison, LLC

  • Community/Retail Pharmacy
  • Madison, AL
National Provider Identifier
1821392366
Registry record updated Dec 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY OF MADISON, LLC
Practice address
97 Hughes Rd
Suite a
Madison, AL 35758-3400
Phone
(256) 227-8467
Fax
(256) 771-0610
NPI assigned
Dec 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2010

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

Authorized official

Name
Brett Johnson Speegle
Title
Owner
Phone
(256) 227-8467

Specialties & licenses 1

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

Addresses

Primary practice location

97 Hughes Rd
Suite a
Madison, AL 35758-3400

Mailing address

186 Medical Dr
Winfield, AL 35594-5002
Phone (205) 487-3079

National Provider Directory

National Provider Directory

Locations

97 Hughes Rd
Ste A
Madison, AL 35758
Phone (256) 227-8467

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1293148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293148800000",
    "number": "1821392366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL DR",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945002",
            "telephone_number": "205-487-3079",
            "fax_number": "205-487-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HUGHES RD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583400",
            "telephone_number": "256-227-8467",
            "fax_number": "256-771-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-24",
        "last_updated": "2010-12-24",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-227-8467"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2010; 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.