Organization Active NPI

Brewis Pharmacy Inc

Doing business as Forestdale Pharmacy

  • Community/Retail Pharmacy
  • Birmingham, AL
National Provider Identifier
1831258219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110986 Issued in AL
Legal business name
BREWIS PHARMACY INC
Doing business as
Forestdale Pharmacy
Practice address
1548 Forestdale Blvd
Birmingham, AL 35214
Phone
(205) 798-2740
Fax
(205) 791-0025
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lyndell Ray Brewis, RPH
Title
President
Phone
(205) 798-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 110986 AL Primary

Addresses

Primary practice location

1548 Forestdale Blvd
Birmingham, AL 35214

Mailing address

1548 Forestdale Blvd
Birmingham, AL 35214
Phone (205) 798-2740

Other identifiers 2

IdentifierTypeStateIssuer
110986OtherALALA STATE BD OF PHARM
0104620OtherNABP

Other names 1

  • Forestdale Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1548 Forestdale Blvd
Birmingham, AL 35214
Phone (205) 798-2740

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831258219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 FORESTDALE BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35214",
            "telephone_number": "205-798-2740",
            "fax_number": "205-791-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 FORESTDALE BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35214",
            "telephone_number": "205-798-2740",
            "fax_number": "205-791-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWIS",
        "authorized_official_first_name": "LYNDELL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-798-2740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALA STATE BD OF PHARM",
            "identifier": "110986",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0104620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forestdale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • 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.