Organization Active NPI

TMK Enterprises, LLC

Doing business as Rocky Ridge Drug Co.

  • Community/Retail Pharmacy
  • Vestavia Hills, AL
National Provider Identifier
1992248470
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114675 Issued in AL
Legal business name
TMK ENTERPRISES, LLC
Doing business as
Rocky Ridge Drug Co.
Practice address
3346 Morgan Dr
Vestavia Hills, AL 35216-3052
Phone
(205) 259-7100
Fax
(205) 259-7101
NPI assigned
Dec 1, 2016
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Keri BatesNPI 1326333980
Title
Owner, Pic, Ao
Phone
(205) 259-7100

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
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 114675 AL Primary

Addresses

Primary practice location

3346 Morgan Dr
Vestavia Hills, AL 35216-3052

Mailing address

3346 Morgan Dr
Vestavia Hills, AL 35216-3052
Phone (205) 259-7100

Other identifiers 2

IdentifierTypeStateIssuer
193720MedicaidAL
2166467OtherPK

Other names 1

  • Rocky Ridge Drug Co. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803001193 AL Part B Supplier - Mass Immunization (Roster Biller Only) 1951672351 Practice locations: Vestavia Hills, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2152280Rocky Ridge Drug Co3346 Morgan Dr, Vestavia Hills, AL 35216Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1992248470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 MORGAN DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163052",
            "telephone_number": "205-259-7100",
            "fax_number": "205-259-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 MORGAN DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163052",
            "telephone_number": "205-259-7100",
            "fax_number": "205-259-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMK ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "205-259-7100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Ridge Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Ridge Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.