Organization Active NPI

Pharmala Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Birmingham, AL
National Provider Identifier
1831463561
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113871 Issued in AL
Legal business name
PHARMALA SPECIALTY PHARMACY LLC
Practice address
34 Manning PL
Birmingham, AL 35242-1809
Phone
(205) 991-5265
Fax
(205) 991-5295
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Dwayne Montgomrey
Title
Owner
Phone
(205) 991-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113871 AL Primary

Addresses

Primary practice location

34 Manning PL
Birmingham, AL 35242-1809

Mailing address

34 Manning PL
Birmingham, AL 35242-1809
Phone (205) 991-5265

Other names 1

  • Pharmsouth Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

34 Manning Pl
Birmingham, AL 35242
Phone (205) 991-5265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1831463561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MANNING PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421809",
            "telephone_number": "205-991-5265",
            "fax_number": "205-991-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MANNING PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421809",
            "telephone_number": "205-991-5265",
            "fax_number": "205-991-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMALA SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2023-11-22",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "MONTGOMREY",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-991-5265"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmsouth 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 Nov 22, 2023; 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.