Organization Active NPI

Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Decatur, AL
National Provider Identifier
1982377362
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VALLEY PHARMACY LLC
Doing business as
Valley Pharmacy LLC
Practice address
1201 8TH St SE
Decatur, AL 35601-3356
Phone
(256) 686-3261
Fax
(256) 686-3406
NPI assigned
Jul 30, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Leila Elayan SpeegleNPI 1881701779
Title
Owner
Phone
(256) 355-8015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1201 8TH St SE
Decatur, AL 35601-3356

Mailing address

1201 8TH St SE
Decatur, AL 35601-3356
Phone (256) 686-3261

Other identifiers 1

IdentifierTypeStateIssuer
1982377362OtherALNPI

Other names 1

  • Valley Pharmacy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214000581 AL Part B Supplier - Pharmacy 3274923800 Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

1201 8th St SE
Decatur, AL 35601
Phone (256) 560-0646

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1982377362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 8TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013356",
            "telephone_number": "256-686-3261",
            "fax_number": "256-686-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 8TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013356",
            "telephone_number": "256-686-3261",
            "fax_number": "256-686-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "ELAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-355-8015"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982377362",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.