Active NPI
Jackson's Rocky Ridge Pharmacy, Inc
Doing business as Rocky Ridge HME
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
National Provider Identifier
1881927192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PENDING NPI APPROVAL
- Legal business name
- JACKSON'S ROCKY RIDGE PHARMACY, INC
- Doing business as
- Rocky Ridge HME
- Practice address
- 3346 Morgan Dr
Birmingham, AL 35216-3052 - Phone
- (205) 822-5200
- Fax
- (205) 979-3666
- NPI assigned
- Sep 18, 2009
- Organization subpart
- Yes
- Parent organization
- JACKSON'S ROCKY RIDGE PHARMACY, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad F Jackson, PHARM. D.
- Title
- President
- Phone
- (205) 822-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PENDING NPI APPROVAL | AL | Primary |
Addresses
Primary practice location
3346 Morgan Dr
Birmingham, AL 35216-3052
Mailing address
2108 Gateway Dr
Suite F
Opelika, AL 36801-6886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-40811 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 0102018 | Other | AL | NCPDP |
| 100003250 | Medicaid | AL |
Other names 1
- Rocky Ridge HME
National Provider Directory
National Provider Directory- Part of
- Jackson's Rocky Ridge Pharmacy Inc
Locations
2108 Gateway Dr
Ste F
Opelika, AL 36801
3346 Morgan Dr
Vestavia Hills, AL 35216
Phone (205) 259-7100
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1881927192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 GATEWAY DR",
"address_2": "SUITE F",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3346 MORGAN DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352163052",
"telephone_number": "205-822-5200",
"fax_number": "205-979-3666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON'S ROCKY RIDGE PHARMACY, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACKSON'S ROCKY RIDGE PHARMACY, INC",
"enumeration_date": "2009-09-18",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-822-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "PENDING NPI APPROVAL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "515-40811",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0102018",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100003250",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rocky Ridge HME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.