NPIMap

Organization Active NPI

Priceville Pharmacy LLC

  • Community/Retail Pharmacy
  • Decatur, AL
National Provider Identifier
1841532546
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114056 Issued in AL
Legal business name
PRICEVILLE PHARMACY LLC
Practice address
2941 Point Mallard Pkwy
Suite a
Decatur, AL 35603
Phone
(256) 350-2588
Fax
(256) 350-9860
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Aundria Baldwin, PHARM D
Title
Supervising Pharmacist
Phone
(256) 350-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 114056 AL Primary

Addresses

Primary practice location

2941 Point Mallard Pkwy
Suite a
Decatur, AL 35603

Mailing address

2941 Point Mallard Pkwy
Suite a
Decatur, AL 35603
Phone (256) 350-2588

National Provider Directory

National Provider Directory

Locations

2941 Point Mallard Pkwy SE
Ste A
Decatur, AL 35603
Phone (256) 350-2588

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1841532546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-350-2588",
            "fax_number": "256-350-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-350-2588",
            "fax_number": "256-350-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "AUNDRIA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "256-350-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.