Organization Active NPI

Sylacauga Pharmacy, LLC

  • Pharmacy
  • Sylacauga, AL
National Provider Identifier
1902377716
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SYLACAUGA PHARMACY, LLC
Practice address
1244 Talladega Hwy
Sylacauga, AL 35150-1603
Phone
(256) 208-9595
NPI assigned
Dec 6, 2018
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Hang M Dinh, PHARMDNPI 1861657983
Title
Principal
Phone
(256) 208-9595

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
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1244 Talladega Hwy
Sylacauga, AL 35150-1603

Mailing address

PO Box 381134
Birmingham, AL 35238-1134
Phone (256) 208-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190605001004 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0143553271 Practice locations: Sylacauga, AL
O20211025003036 AL Part B Supplier - Independent Clinical Laboratory 0143553271 Practice locations: Sylacauga, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2234615Sylacauga Pharmacy, LLC1244 Talladega Hwy, Sylacauga, AL 35150Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

1244 Talladega Hwy
Sylacauga, AL 35150
Phone (256) 208-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1902377716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381134",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352381134",
            "telephone_number": "256-208-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 TALLADEGA HWY",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501603",
            "telephone_number": "256-208-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLACAUGA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "HANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "256-208-9595",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.