Active NPI
Albert Miller McManus II
- Community/Retail Pharmacy
- Evergreen, AL
National Provider Identifier
1851987994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6638
- Practice address
- 210 W Front St
Evergreen, AL 36401-2815 - Phone
- (251) 578-2227
- Fax
- (251) 578-9694
- NPI assigned
- Dec 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 6638 | AL | Primary |
Addresses
Primary practice location
210 W Front St
Evergreen, AL 36401-2815
Mailing address
210 West Front St
Evergreen, AL 36401
Phone (251) 578-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6638 | AL | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Community/Retail Pharmacy | Current | Accepting new patients |
| Alabama CVS Pharmacy LLC | Community/Retail Pharmacy | Past | Accepting new patients |
Locations
210 W Front St
Evergreen, AL 36401
Phone (251) 578-2227
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1851987994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WEST FRONT ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "36401",
"telephone_number": "251-578-2227",
"fax_number": "251-578-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W FRONT ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364012815",
"telephone_number": "251-578-2227",
"fax_number": "251-578-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "ALBERT",
"middle_name": "MILLER",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-13",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "6638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.