Active NPI
Jeffrey G Church, R.PH.
- Pharmacist
- Bessemer, AL
National Provider Identifier
1982730222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12930
- Practice address
- 5611 Shirley Park Dr
Bessemer, AL 35022-3402 - Phone
- (205) 547-3964
- Fax
- (205) 484-0552
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12930 | AL | Primary |
Addresses
Primary practice location
5611 Shirley Park Dr
Bessemer, AL 35022-3402
Mailing address
1027 Grand Oaks Drive
Bessemer, AL 35022
Phone (205) 746-4549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12930 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Pharmacy Cooperative, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Managed Care Organization Pharmacy
- Bessemer, AL
- NPI 1245708049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1982730222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 GRAND OAKS DRIVE",
"city": "BESSEMER",
"state": "AL",
"postal_code": "35022",
"telephone_number": "205-746-4549",
"fax_number": "205-978-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5611 SHIRLEY PARK DR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350223402",
"telephone_number": "205-547-3964",
"fax_number": "205-484-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "JEFFREY",
"middle_name": "G",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.