Organization Active NPI

Seale Harris Clinic PA

  • Clinic Pharmacy
  • Birmingham, AL
National Provider Identifier
1912290685
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
113722 Issued in AL
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

Updated by the provider on Jul 5, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0137150OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Seale Harris Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seale Harris Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.