NPIMap

Organization Active NPI

Pharmacy Alternatives, LLC

  • Pharmacy
  • Valdosta, GA
National Provider Identifier
1881984557
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009744 Issued in GA
Legal business name
PHARMACY ALTERNATIVES, LLC
Practice address
1705 River St
Valdosta, GA 31601-5163
Phone
(229) 249-0233
Fax
(229) 249-0494
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Timothy Tyler Whobrey
Title
Provider Enrollment
Phone
(502) 630-7249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009744 GA Primary
Long Term Care Pharmacy 3336L0003X PHRE009744 GA

Addresses

Primary practice location

1705 River St
Valdosta, GA 31601-5163

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (502) 394-2100

Other identifiers 1

IdentifierTypeStateIssuer
PHRE009744OtherGAPHARMACY LICENSE

Other names 1

  • PAL Georgia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120109000208 GA DME Supplier - Pharmacy 8527149640 Practice locations: Valdosta, GA
O20251114003538 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8527149640 Practice locations: Valdosta, GA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Pharmacy Alternatives, LLC1705 River St, Valdosta, GA 31601-5163(229) 249-0223 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 17, 2020

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Alternatives4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

747 N Church Rd
Ste E1
Elmhurst, IL 60126
Phone (630) 516-1211

1620 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 245-4239

45 Becker Rd
West Henrietta, NY 14586
Phone (585) 486-4367

5810 Trade Center Dr
Ste 400
Austin, TX 78744
Phone (512) 383-9229

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1881984557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RIVER ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015163",
            "telephone_number": "229-249-0233",
            "fax_number": "229-249-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ALTERNATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "WHOBREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-630-7249"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009744",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHRE009744",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAL Georgia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PAL Georgia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.