Active NPI
RX Express Pharmacy of Tillman'S Corner, Inc.
- Community/Retail Pharmacy
- Mobile, AL
National Provider Identifier
1912323544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Michael Partridge, R.PH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210527002562 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224445283 | Practice locations: Mobile, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Mobile, AL
- NPI 1184212987
-
- Pharmacist
- Mobile, AL
- NPI 1497600761
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.