Druid City Infusion

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

DRUID CITY INFUSION

Doing business as

Druid City Vital Care

Practice address

611 McFarland Blvd Ste C
Northport, AL 35476-3333

Phone

(205) 409-9601

Fax

(888) 522-5987

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By 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

Logan E DavisNPI 1235393679

Title

Owner

Phone

(601) 482-7420

Specialties & licenses 1

Addresses

Other names 1

• Druid City Vital Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Druid City Infusion

  dba Druid City Vital Care

  • Home Infusion Therapy Pharmacy
  • Northport, AL
  • NPI 1306277397

  9537384953

  Same PAC ID

Locations

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.

• Logan E Davis, PHARMD

  • Pharmacist
  • Meridian, MS
  • NPI 1235393679
  Authorized official Same address or phone

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1851987424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MCFARLAND BLVD STE C",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763333",
            "telephone_number": "205-409-9601",
            "fax_number": "888-522-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MCFARLAND BLVD STE C",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763333",
            "telephone_number": "205-409-9601",
            "fax_number": "888-522-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUID CITY INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-482-7420"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Druid City Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Dean Dozier-Ezell, MS, CCC-SLP
• Dr. Robert W. Eaton, PC
• Drayer Physical Therapy Alabama LLC
• Druid City Infusion (Druid City Vital Care)
• Druid City Infusion (Druid City Vital Care)
• Druid City Infusion Clinics LLC (Druid City Infusion - AIC)
• Anna Prater Drury, CRNP, FNP
• Tamara Quisette Dudley
• Duncan Pedorthics Inc
• Dutch Pharmacies Inc (Family Pharmacy of Northport)

• Home Infusion Therapy Pharmacy in Northport, AL
• Providers in Northport, AL by specialty
• Home Infusion Therapy Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.