NPIMap

Organization Active NPI

The Sylacauga Health Care Authority

Doing business as CVMC Apothecary

  • Community/Retail Pharmacy
  • Sylacauga, AL
National Provider Identifier
1851881080
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE SYLACAUGA HEALTH CARE AUTHORITY
Doing business as
CVMC Apothecary
Coosa Valley Apothecary
Practice address
315 W Hickory St Ste 150
Sylacauga, AL 35150-2913
Phone
(256) 401-4534
Fax
(256) 401-4603
NPI assigned
May 14, 2018
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
THE SYLACAUGA HEALTH CARE AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Roland Lee Thacker
Title
Cfo
Phone
(256) 401-4534

Specialties & licenses 1

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

Addresses

Primary practice location

315 W Hickory St Ste 150
Sylacauga, AL 35150-2913

Mailing address

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4534

Other identifiers 2

IdentifierTypeStateIssuer
HOS0164HMedicaidAL
H6102OtherALHOSPITAL LICENSE

Other names 2

  • CVMC Apothecary Doing business as
  • Coosa Valley Apothecary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sylacauga Health Care Auth10 organizations share this tax ID, including this one
Part of
Sylacauga Health Care Auth

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1851881080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4534",
            "fax_number": "256-401-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST STE 150",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4534",
            "fax_number": "256-401-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SYLACAUGA HEALTH CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SYLACAUGA HEALTH CARE AUTHORITY",
        "enumeration_date": "2018-05-14",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-401-4534"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0164H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "H6102",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVMC Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVMC Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coosa Valley Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.