Organization Active NPI

Pike Road Pharmacy

  • Pharmacy
  • Pike Road, AL
National Provider Identifier
1912862202
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PIKE ROAD PHARMACY
Practice address
9558 Vaughn Road
Pike Road, AL 36064
Phone
(334) 398-7765
Fax
(334) 398-7841
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Jeremy Michael Nolan
Title
Owner/Pharmacist
Phone
(334) 202-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

9558 Vaughn Road
Pike Road, AL 36064

Mailing address

9558 Vaughn Road
Pike Road, AL 36064
Phone (334) 398-7765

National Provider Directory

National Provider Directory

Locations

9558 Vaughn Rd
Pike Road, AL 36064
Phone (334) 398-7765

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1912862202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9558 VAUGHN ROAD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "36064",
            "telephone_number": "334-398-7765",
            "fax_number": "334-398-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9558 VAUGHN ROAD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "36064",
            "telephone_number": "334-398-7765",
            "fax_number": "334-398-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE ROAD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "334-202-1104"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.