Pisgah Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

107810 Issued in AL

Legal business name

PISGAH FAMILY PHARMACY LLC

Doing business as

Pisgah Family Pharmacy

Practice address

6049 County Road 88
Pisgah, AL 35765

Phone

(256) 451-3283

Fax

(256) 451-6088

NPI assigned

Oct 3, 2006

Last updated

Feb 7, 2014By 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

Steven Overby, PHARMD

Title

Owner

Phone

(256) 451-3283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PISGAH FAMILY PHARMACY Doing business as

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.

• David John Kinsley, PHARM.D.

  • Pharmacist
  • Scottsboro, AL
  • NPI 1740496256
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1861586125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650009",
            "telephone_number": "256-451-3283",
            "fax_number": "256-451-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 COUNTY ROAD 88",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "35765",
            "telephone_number": "256-451-3283",
            "fax_number": "256-451-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISGAH FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-451-3283",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "107810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988899",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003760",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PISGAH FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darren Patrick Barrilleaux, DDS
• Ashley Hall, RN
• Auburn Reilly McCrary
• Muhammad Ejaz Ata (Pisgah Medical Clinic)
• Muhammad Ejaz Ata (Pisgah Medical Clinic)
• Progressive Dentistry
• R&R Pharmaceuticals Inc. (Pisgah Pharmacy)
• Katlyn Nicole Robertson
• Austin Cyle Smith, RN
• Team PBS

• Community/Retail Pharmacy in Pisgah, AL
• Providers in Pisgah, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.