Organization Active NPI

RX Express Pharmacy of Tillman'S Corner, Inc.

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1912323544
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX EXPRESS PHARMACY OF TILLMAN'S CORNER, INC.
Practice address
5638 Three Notch Rd
Mobile, AL 36619-1724
Phone
(251) 662-2525
Fax
(251) 662-1339
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Jerry Michael Partridge, R.PHNPI 1184212987
Title
President
Phone
(251) 661-3851

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5638 Three Notch Rd
Mobile, AL 36619-1724

Mailing address

PO Box 191390
Mobile, AL 36619-6390
Phone (251) 662-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527002562 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8224445283 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

5638 Three Notch Rd
#A
Mobile, AL 36619
Phone (251) 662-2525

5638 Three Notch Rd
Mobile, AL 36619
Phone (251) 662-2525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1912323544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191390",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366196390",
            "telephone_number": "251-662-2525",
            "fax_number": "251-662-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 THREE NOTCH RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191724",
            "telephone_number": "251-662-2525",
            "fax_number": "251-662-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX EXPRESS PHARMACY OF TILLMAN'S CORNER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-661-3851",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.