Active NPI
Medchoice Pharmacy Services, LLC
- Long Term Care Pharmacy
- Mobile, AL
National Provider Identifier
1902220932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 114292
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210107001911 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911310123 | Practice locations: Mobile, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hi-Tech Medical Services Inc | Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Ventilators Accessories and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Pines of Camden LLC | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.