NPIMap

Organization Active NPI

Rainsville Compounding Pharmacy, LLC

  • Pharmacist
  • Rainsville, AL
National Provider Identifier
1922116193
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0131526 Issued in AL
Legal business name
RAINSVILLE COMPOUNDING PHARMACY, LLC
Practice address
515 Main Street
Rainsville, AL 35986
Phone
(256) 638-2255
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wade Phillips, PHARMD
Title
Supervising Pharmacist
Phone
(256) 638-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 0131526 AL Primary

Addresses

Primary practice location

515 Main Street
Rainsville, AL 35986

Mailing address

PO Box 1370
515 Main Street
Rainsville, AL 35986-1370
Phone (256) 638-2255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922116193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "address_2": "515 MAIN STREET",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359861370",
            "telephone_number": "256-638-2255",
            "fax_number": "256-638-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN STREET",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINSVILLE COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "256-638-2255",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "0131526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.