Mills Pharmacy at Pleasant Grove LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113927 Issued in AL

Legal business name

MILLS PHARMACY AT PLEASANT GROVE LLC

Doing business as

Mills Pharmacy at Pleasant Grove

Practice address

847 Park Rd Ste a
Pleasant Grove, AL 35127-1676

Phone

(205) 744-0447

Fax

(205) 744-0477

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Josh Hardin, PHARMD

Title

Pharmacist

Phone

(205) 427-0955

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mills Pharmacy at Pleasant Grove Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Givens Shelton, PHARM.D

  • Pharmacist
  • Leeds, AL
  • NPI 1174227870
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1891058152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26679",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352600679",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARK RD STE A",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351271676",
            "telephone_number": "205-744-0447",
            "fax_number": "205-744-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS PHARMACY AT PLEASANT GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "205-427-0955",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150210",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Pharmacy at Pleasant Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Pharmacy at Pleasant Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy Health and Rehabilitation of Pleasant Grove, LLC
• London'S Touch
• Judy Mallah
• Marwan Marzok Ismail
• Ray Merrill III, D.M.D.
• Myluma Health and Wellness LLC
• Patrice Banks Patton, OTR/L
• Pleasant Grove Drugs Inc.
• Pleasant Grove Nursing and Rehabilitation Center LLC
• Ebony Watkins Pollard, PHARM.D.

• Community/Retail Pharmacy in Pleasant Grove, AL
• Providers in Pleasant Grove, 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 Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.