Organization Active NPI

Cloverland Drugs, Inc

Doing business as Carol Villa Pharmacy

  • Pharmacist
  • Montgomery, AL
National Provider Identifier
1891873147
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
111672 Issued in AL
Legal business name
CLOVERLAND DRUGS, INC
Doing business as
Carol Villa Pharmacy
Practice address
5350 Atlanta Hwy # C
Montgomery, AL 36109-3324
Phone
(334) 279-7413
Fax
(334) 279-7418
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
David Glenn SaalwaechterNPI 1508972688
Title
President/Owner
Phone
(334) 279-7413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 111672 AL Primary

Addresses

Primary practice location

5350 Atlanta Hwy # C
Montgomery, AL 36109-3324

Mailing address

5350 Atlanta Hwy # C
Montgomery, AL 36109-3324
Phone (334) 279-7413

Other identifiers 1

IdentifierTypeStateIssuer
100002819MedicaidAL

Other names 1

  • CAROL VILLA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5350 Atlanta Hwy
#C
Montgomery, AL 36109
Phone (334) 279-7413

5350C Atlanta Hwy
Montgomery, AL 36109
Phone (334) 279-7413

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1891873147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 ATLANTA HWY # C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093324",
            "telephone_number": "334-279-7413",
            "fax_number": "334-279-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 ATLANTA HWY # C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093324",
            "telephone_number": "334-279-7413",
            "fax_number": "334-279-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERLAND DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "SAALWAECHTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "334-279-7413"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "111672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002819",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROL VILLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.