Fort Payne Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FORT PAYNE PHARMACY LLC

Practice address

1614A Glenn Blvd SW
Fort Payne, AL 35968-3522

Phone

(256) 845-3402

Fax

(256) 845-3289

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Leatricia Lynn Bonner

Title

Owner

Phone

(256) 845-3402

Specialties & licenses 1

Addresses

Other names 1

• Fort Payne Pharmacy LLC Former legal business name

Locations

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1942011663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614A GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683522",
            "telephone_number": "256-845-3402",
            "fax_number": "256-845-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614A GLENN BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683522",
            "telephone_number": "256-845-3402",
            "fax_number": "256-845-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PAYNE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "LEATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-845-3402"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Payne Pharmacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Fort Payne RHC Corp
• Fort Payne Urgent Care, LLC
• Janna Foshee, MS, CCC-SLP
• Ora Gwendolyn Foster, LCSW
• Tonya Leigh Fox, CRNA

• Community/Retail Pharmacy in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.