Active NPI
Leesburg Pharmacy, Inc. Dba Lookout Mountain Pharmacy
- Pharmacist
- Sandrock, AL
National Provider Identifier
1982929782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113381
- Legal business name
- LEESBURG PHARMACY, INC. DBA LOOKOUT MOUNTAIN PHARMACY
- Practice address
- 1955 Sand Rock Ave
Sandrock, AL 35983-4327 - Phone
- (256) 523-5665
- Fax
- (256) 523-5669
- NPI assigned
- Apr 5, 2010
- Organization subpart
- Yes
- Parent organization
- LEESBURG PHARMACY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris N St.Clair, R.PH.
- Title
- President
- Phone
- (256) 526-6337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113381 | AL | Primary |
Addresses
Primary practice location
1955 Sand Rock Ave
Sandrock, AL 35983-4327
Mailing address
PO Box 358
Leesburg, AL 35983-0358
Phone (256) 526-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113381 | Other | AL | STATE OF ALABAMA BOARD OF PHARMACY LICENSE # |
Other names 1
- Lookout Mountain Pharmacy
National Provider Directory
National Provider Directory- Part of
- Leesburg Pharmacy Inc Dba Lookout Mountain Pharmacy
Locations
1955 Sand Rock Ave
Sand Rock, AL 35983
Phone (256) 523-5665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1982929782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 358",
"city": "LEESBURG",
"state": "AL",
"postal_code": "359830358",
"telephone_number": "256-526-6337",
"fax_number": "256-526-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 SAND ROCK AVE",
"city": "SANDROCK",
"state": "AL",
"postal_code": "359834327",
"telephone_number": "256-523-5665",
"fax_number": "256-523-5669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEESBURG PHARMACY, INC. DBA LOOKOUT MOUNTAIN PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEESBURG PHARMACY, INC.",
"enumeration_date": "2010-04-05",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "ST.CLAIR",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-526-6337",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AL",
"license": "113381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALABAMA BOARD OF PHARMACY LICENSE #",
"identifier": "113381",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lookout Mountain Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sandrock, AL
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.