One Source RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114219 Issued in AL

Legal business name

ONE SOURCE RX, LLC

Doing business as

One Source RX, LLC

Practice address

3008 Clairmont Ave S Ste 100
Birmingham, AL 35205-1113

Phone

(205) 244-1444

Fax

(205) 244-1119

NPI assigned

Oct 5, 2013

Last updated

Oct 5, 2013By 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

Porter McCollister

Title

Managing Partner

Phone

(205) 790-4774

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• One Source RX, LLC Doing business as

Locations

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

{
    "created_epoch": "1380931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380931200000",
    "number": "1891122834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531228",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352531228",
            "telephone_number": "205-244-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 CLAIRMONT AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051113",
            "telephone_number": "205-244-1444",
            "fax_number": "205-244-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-05",
        "last_updated": "2013-10-05",
        "status": "A",
        "authorized_official_last_name": "MCCOLLISTER",
        "authorized_official_first_name": "PORTER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-790-4774"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source RX, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Birmingham, AL
• Providers in Birmingham, 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 Oct 5, 2013; 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.