Senior Care Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SENIOR CARE PHARMACY INC

Doing business as

Senior Care Pharmacy of South Alabama

Practice address

101B Villa Dr Ste B-260
Daphne, AL 36526-4653

Phone

(251) 264-6110

Fax

(877) 583-0120

NPI assigned

Sep 3, 2019

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIOR CARE PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Phillip Cody Long

Title

Chief Financial Officer

Phone

(205) 391-3600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Senior Care Pharmacy of South Alabama Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Senior Care Pharmacy Inc

  dba Senior Care Pharmacy of Birmingham

  • Long Term Care Pharmacy
  • Birmingham, AL
  • NPI 1235653221

  O20201118002050

  Same enrollment
• Senior Care Pharmacy Inc

  • Long Term Care Pharmacy
  • Northport, AL
  • NPI 1346239795

  O20201118002050

  Same enrollment

Tax ID family

Northgate Serv Inc3 organizations share this tax ID, including this one

Part of

Northgate Serv Inc

Other organizations with this tax ID 2

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

• Senior Care Pharmacy Inc

  dba Senior Care Pharmacy of Birmingham

  • Long Term Care Pharmacy
  • Birmingham, AL
  • NPI 1235653221
  NPD tax ID
• Senior Care Pharmacy Inc

  • Long Term Care Pharmacy
  • Northport, AL
  • NPI 1346239795
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Senior Care Pharmacy Inc

  • Long Term Care Pharmacy
  • Northport, AL
  • NPI 1346239795
  NPPES parent name

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.

• Seth Matthew Gross, PHARMD

  • Pharmacist
  • Daphne, AL
  • NPI 1366859126
  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1821646894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101B VILLA DR STE B-260",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-264-6110",
            "fax_number": "877-583-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B VILLA DR STE B-260",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-264-6110",
            "fax_number": "877-583-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE PHARMACY INC",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "114940",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Pharmacy of South Alabama",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Care Pharmacy of South Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard H Scott, OD
• Holly Scott, CRNP
• Ju'Neau Scott, RBT
• Shelley Tyrrell Scott, MS CCC-SLP
• Seaside Chiropractic and Wellness LLC
• Senior Health Source LLC
• Senior Therapy Solutions, LLC (Senior Therapy Solutions AL)
• SH Daphne, LLC (Seagrass Village Daphne)
• Jessica Shaw, LMT
• Yifan Shen, DPT

• Long Term Care Pharmacy in Daphne, AL
• Providers in Daphne, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.