Organization Active NPI

The Pharmacy Boothe

  • Pharmacist
  • Madison, AL
National Provider Identifier
1932140712
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
112348 Issued in AL
Legal business name
THE PHARMACY BOOTHE
Practice address
3825 Sullivan St
Suite 2
Madison, AL 35758-1740
Phone
(256) 461-6376
Fax
(256) 461-6334
NPI assigned
Jun 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jeanna Sewell Boothe, PHARMDNPI 1881635217
Title
President
Phone
(256) 461-6376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 112348 AL Primary

Addresses

Primary practice location

3825 Sullivan St
Suite 2
Madison, AL 35758-1740

Mailing address

3825 Sullivan St
Suite 2
Madison, AL 35758-1740
Phone (256) 461-6376

Other identifiers 3

IdentifierTypeStateIssuer
515-19983OtherALBCBS DME PROVIDER
0132009OtherNCPDP
112348OtherALSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932140712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN ST",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581740",
            "telephone_number": "256-461-6376",
            "fax_number": "256-461-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN ST",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581740",
            "telephone_number": "256-461-6376",
            "fax_number": "256-461-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY BOOTHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_middle_name": "SEWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-461-6376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "112348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER",
            "identifier": "515-19983",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0132009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "112348",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.