Organization Active NPI

Medchoice Pharmacy Services, LLC

  • Long Term Care Pharmacy
  • Mobile, AL
National Provider Identifier
1902220932
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
114292 Issued in AL
Legal business name
MEDCHOICE PHARMACY SERVICES, LLC
Practice address
1 Southern Way
Mobile, AL 36619-1210
Phone
(251) 544-9500
Fax
(250) 544-9501
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Leigh A Mathes, PHARM D.
Title
Pharmacy Manager
Phone
(850) 381-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 114292 AL Primary

Addresses

Primary practice location

1 Southern Way
Mobile, AL 36619-1210

Mailing address

1 Southern Way
Mobile, AL 36619-1210
Phone (850) 215-9428

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107001911 AL Part B Supplier - Mass Immunization (Roster Biller Only) 7911310123 Practice locations: Mobile, AL

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
Hi-Tech Medical Services Inc1 Southern Way, Mobile, AL 36619-1210(251) 433-9805 Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Ventilators Accessories and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pines of Camden LLCCamden, AL, CCN 015374 Skilled nursing facility Adp of the SNF Jan 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1902220932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "850-215-9428",
            "fax_number": "850-215-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-544-9500",
            "fax_number": "250-544-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCHOICE PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "MATHES",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "850-381-1433",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "114292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.