Avalon Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

110779 Issued in AL

Legal business name

AVALON PHARMACY, INC

Doing business as

avalon discount drugs

Practice address

2400 Avalon Ave
Muscle Shoals, AL 35661-3164

Phone

(256) 314-1001

Fax

(256) 314-1002

NPI assigned

Feb 28, 2007

Last updated

Mar 11, 2008By 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

Mr. James Mark Ray, RPH

Title

RPH

Phone

(256) 314-1001

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• avalon discount drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1871620526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613164",
            "telephone_number": "256-314-1001",
            "fax_number": "256-314-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613164",
            "telephone_number": "256-314-1001",
            "fax_number": "256-314-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "256-314-1001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "110779",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110779",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "110779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009703940",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002842",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "avalon discount drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashish Appani
• Kevin L Arnold, PHARMD
• Rachel Starks Austin, NP
• Avalon Medical Group
• Avalon Medical Group
• Mallory E Avant, CRNP
• Ashton Aycock
• Melissa Anne Aycock, CRNP
• Sean Robert Bachelor, CRNP
• Bainbridge Enterprises, Inc (steve's pharmacy)

• Community/Retail Pharmacy in Muscle Shoals, AL
• Providers in Muscle Shoals, 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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.