Coburn Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

106762 Issued in AL

Legal business name

COBURN INC

Doing business as

Natural RX

Practice address

2801 Lurleen Wallace Blvd
Northport, AL 35476

Phone

(205) 339-3992

Fax

(205) 339-3306

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Luke Coburn, RPH

Title

Owner

Phone

(205) 339-3992

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NATURAL RX Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1871638197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LURLEEN WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LURLEEN WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-339-3992",
            "fax_number": "205-339-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBURN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-339-3992",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0123668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0123668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATURAL RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Clements, CRNP
• Lesland K Clinner, DPT
• Sarah Clos, ATC
• Molly Ann Norris Clowers, CRNP
• Lauren Payne Cobb, D.C.
• Jordan Rae Cochran Hodges, PHARMD
• Robert Maynard Colburn Jr., RPH
• William Manley Colburn, DMD
• Colburn's Northport Pharmacy, Inc. (Northport Pharmacy)
• Colburn's Northport Pharmacy, Inc.

• Community/Retail Pharmacy in Northport, AL
• Providers in Northport, 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 May 13, 2011; 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.