NPIMap

Organization Active NPI

Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Anniston, AL
National Provider Identifier
1992172878
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114516 Issued in AL
Legal business name
FAMILY PHARMACY INC
Doing business as
Martin's Pharmacy
Practice address
3345 Henry Rd
Anniston, AL 36207-6343
Phone
(256) 403-1107
Fax
(866) 560-7703
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Kai Martin
Title
Pharmacist
Phone
(256) 473-1592

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 114516 AL Primary

Addresses

Primary practice location

3345 Henry Rd
Anniston, AL 36207-6343

Mailing address

610 Quintard Dr
Oxford, AL 36203-1840
Phone (256) 831-6116

Other identifiers 2

IdentifierTypeStateIssuer
179268MedicaidAL
2153731OtherPK

Other names 1

  • Martin's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210315002085 AL Part B Supplier - Mass Immunization (Roster Biller Only) 4284806662 Practice locations: Anniston, AL
O20210816002895 AL Part B Supplier - Pharmacy 4284806662 Practice locations: Anniston, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3345 Henry Rd
Anniston, AL 36207
Phone (256) 403-1107

1615 Quintard Ave
Anniston, AL 36201
Phone (256) 403-0500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1992172878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 QUINTARD DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031840",
            "telephone_number": "256-831-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 HENRY RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076343",
            "telephone_number": "256-403-1107",
            "fax_number": "866-560-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-473-1592"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179268",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.