Individual provider Active NPI

Albert Miller McManus II

  • Community/Retail Pharmacy
  • Evergreen, AL
National Provider Identifier
1851987994
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6638 Issued in AL
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

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6638ALMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. Community/Retail Pharmacy CurrentSince Mar 3, 2024 Accepting new patients
Alabama CVS Pharmacy LLC Community/Retail Pharmacy PastSince Dec 16, 2020 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.

Verify at the official NPI Registry.