NPIMap

Organization Active NPI

Faf Inc

  • Long Term Care Pharmacy
  • Huntsville, AL
National Provider Identifier
1982175956
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FAF INC
Practice address
4040 Memorial Pkwy SW Ste L
Huntsville, AL 35802-4364
Phone
(256) 705-6499
Fax
(256) 705-6497
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
FAF INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Ashley Watson
Title
Pharmacy Manager
Phone
(256) 705-6499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4040 Memorial Pkwy SW Ste L
Huntsville, AL 35802-4364

Mailing address

4040 Memorial Pkwy SW Ste L
Huntsville, AL 35802-4364

Other identifiers 1

IdentifierTypeStateIssuer
182372MedicaidAL

Other names 1

  • SPARKMAN PHARMACY AT WELLSTONE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Faf Inc4 organizations share this tax ID, including this one
Part of
Faf Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4040 Memorial Pkwy SW
Ste L
Huntsville, AL 35802
Phone (256) 705-6499

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1982175956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW STE L",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW STE L",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364",
            "telephone_number": "256-705-6499",
            "fax_number": "256-705-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAF INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAF INC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "256-705-6499"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182372",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPARKMAN PHARMACY AT WELLSTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.