Valley Pharmacy & DME of East Alabama Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VALLEY PHARMACY & DME OF EAST ALABAMA INC

Practice address

4103 20TH Ave
Valley, AL 36854-3448

Phone

(334) 756-2037

Fax

(334) 756-9024

NPI assigned

Oct 28, 2005

Last updated

Jan 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Moore, RPHNPI 1902943640

Title

President

Phone

(334) 756-2037

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL3 enrollments

Enrollment records 3

Tax ID family

John Minter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• John Minter

  dba Valley Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Valley, AL
  • NPI 1346435351
  NPD tax ID

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.

• Angela Barnes Moore, RPH

  • Pharmacist
  • Valley, AL
  • NPI 1902943640
  NPD Authorized official

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1851381958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543448",
            "telephone_number": "334-756-2037",
            "fax_number": "334-756-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543448",
            "telephone_number": "334-756-2037",
            "fax_number": "334-756-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY & DME OF EAST ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-756-2037",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143180",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0107917",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valley Medical & Surgical Clinic, P.C.
• Valley Orthopedics, PC
• Valley Pharmacy & DME of East Alabama Inc
• Valley Surigal
• Valley Surigical Inc
• Valley Wellness and Chiropractic Inc
• Ashton Scott Vega, PHARMD
• Vision World Inc

• Pharmacy in Valley, AL
• Providers in Valley, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.