Active NPI
The Pharmacy Boothe
- Pharmacist
- Madison, AL
National Provider Identifier
1932140712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 112348
- 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, 2023
- 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
- Dr. Jeanna Sewell Boothe, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-19983 | Other | AL | BCBS DME PROVIDER |
| 0132009 | Other | NCPDP | |
| 112348 | Other | AL | STATE LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Madison, AL
- NPI 1881635217
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
- The Healthcare Authority of North Alabama
- The Healthcare Authority of the City of Huntsville (HH Physician Care at Madison)
- The Imaging Center Inc
- The Light Counseling, LLC
- The Madison Clinic for Behavior Therapy, LLC
- The Range Physical Therapy, LLC
- The Sacred Counseling Coaching and Consulting LLC
- Therapy Enterprises, LLC (Dockery & Associates Physical Therapy)
- Dakota Elizebeth Thiele, CRNP
- Isabella Dobson Thomas-Heinsohn, M.S., LPC
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.