Montgomery Baptist Outreach Services Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

101317 Issued in AL

Legal business name

MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION

Doing business as

Baptist Tower Pharmacy

Practice address

2055 E South Blvd
Montgomery, AL 36116-2001

Phone

(334) 286-3200

NPI assigned

Oct 3, 2006

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Elizabeth Bruton

Title

Cfo

Phone

(334) 273-4258

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Baptist Tower Pharmacy Doing business as

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.

• Thomas G Kincer, M.D.

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1114994357
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1912091703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-286-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-286-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-273-4258"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "101317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "01 19710",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002115",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Tower Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Tower Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montgomery Area Services for Persons With Mental Retardation, Inc
• Montgomery Auburn Homecare LLC (Visiting Angels)
• Montgomery Baptist Association
• Montgomery Baptist Outreach Services Corporation (Hospital Physician Services of Central Alabama)
• Montgomery Baptist Outreach Services Corporation (Montgomery Family Medicine Residency Program)
• Montgomery Behavioral Health LLC
• Montgomery Breast Associates
• Montgomery Cancer Center LLC
• Montgomery Cancer Center LLC (MCC Apothecary)
• Montgomery Cancer Center, LLC

• Community/Retail Pharmacy in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.