NPIMap

Organization Active NPI

Oak Ridge Health Systems Inc

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1891801643
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112024 Issued in AL
Legal business name
OAK RIDGE HEALTH SYSTEMS INC
Practice address
4180A Oak Ridge Ave
Mobile, AL 36619-1851
Phone
(251) 666-0891
Fax
(251) 661-0483
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Mr. Dawson Gregory Moorer, RPH
Title
President
Phone
(251) 666-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112024 AL Primary

Addresses

Primary practice location

4180A Oak Ridge Ave
Mobile, AL 36619-1851

Mailing address

4180A Oak Ridge Ave
Mobile, AL 36619-1851
Phone (251) 666-0891

Other identifiers 2

IdentifierTypeStateIssuer
100001190MedicaidAL
0101484OtherNABP

Other names 1

  • OAK RIDGE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oak Ridge Health Systems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4180A Oak Ridge Ave
Mobile, AL 36619
Phone (251) 450-0808

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1891801643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180A OAK RIDGE AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191851",
            "telephone_number": "251-666-0891",
            "fax_number": "251-661-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180A OAK RIDGE AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191851",
            "telephone_number": "251-666-0891",
            "fax_number": "251-661-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-666-0891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001190",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0101484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK RIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.