Active NPI
Seale Harris Clinic PA
- Clinic Pharmacy
- Birmingham, AL
National Provider Identifier
1912290685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 113722
- Legal business name
- SEALE HARRIS CLINIC PA
- Doing business as
- Seale Harris Clinic Pharmacy
- Practice address
- 805 Saint Vincents Dr Ste 520
Birmingham, AL 35205-1636 - Phone
- (205) 769-3770
- Fax
- (205) 745-4505
- NPI assigned
- May 27, 2011
- 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
- Melissa Bentley
- Title
- Consultant Pharmacist
- Phone
- (205) 769-3779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 113722 | AL | Primary |
Addresses
Primary practice location
805 Saint Vincents Dr Ste 520
Birmingham, AL 35205-1636
Mailing address
805 Saint Vincents Dr
Suite 520
Birmingham, AL 35205-1636
Phone (205) 769-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137150 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Seale Harris Clinic Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Seale Harris Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1295907889
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1437105913
Locations
805 Saint Vincents Dr
Ste 520
Birmingham, AL 35205
Phone (205) 769-3770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309824000000",
"number": "1912290685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR",
"address_2": "SUITE 520",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-769-3770",
"fax_number": "205-745-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR STE 520",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-769-3770",
"fax_number": "205-745-4505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEALE HARRIS CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-27",
"last_updated": "2011-07-05",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CONSULTANT PHARMACIST",
"authorized_official_telephone_number": "205-769-3779"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "AL",
"license": "113722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0137150",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seale Harris Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.