FAMILY PHARMACY OF ORANGE BEACH (ORANGE BEACH FAMILY PHARMACY) NPI 1205830999

Pharmacy in Orange Beach, AL

NPI 1205830999 Organization Pharmacy

About FAMILY PHARMACY OF ORANGE BEACH (ORANGE BEACH FAMILY PHARMACY)

Family Pharmacy Of Orange Beach (orange Beach Family Pharmacy) is a provider established in Orange Beach, Alabama specializing in pharmacy. The NPI number of Family Pharmacy Of Orange Beach (orange Beach Family Pharmacy) is 1205830999 and was assigned on June 2005. The practitioner's primary taxonomy code is 333600000X with license number 110764 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Family Pharmacy Of Orange Beach. The authorized official of this NPI record is Pattisue Carranza Rph, Cde (President/owner)

NPI

1205830999

Provider NameFAMILY PHARMACY OF ORANGE BEACH (ORANGE BEACH FAMILY PHARMACY)
Provider Location Address25299 A CANAL ROAD #6 ORANGE BEACH, AL 36561
Provider Mailing Address25299 A CANAL ROAD #6 ORANGE BEACH, AL 36561
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFAMILY PHARMACY OF ORANGE BEACH
Other Name TypeOther Name (5)
Enumeration Date06-09-2005
Last Update Date01-04-2008


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.110764
License StateAL
Taxonomy DescriptionA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Business Address

FAMILY PHARMACY OF ORANGE BEACH
25299 A CANAL ROAD #6
ORANGE BEACH, AL
ZIP 36561
Phone: (251) 981-2255
Fax: (251) 981-2282

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Mailing Address

FAMILY PHARMACY OF ORANGE BEACH
25299 A CANAL ROAD #6
ORANGE BEACH, AL
ZIP 36561
Phone: (251) 981-2255
Fax: (251) 981-2282



Authorized Official

Authorized Official Name PATTISUE CARRANZA RPH, CDE
Authorized Official TitlePRESIDENT/OWNER
Authorized Official Phone(251) 981-2255

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical Supplies110764ALNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1130330001MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376547901MRS. MICHELLE ANNE SIMPSON PHARMACY TECH
Individual
Pharmacy Technician25299 A CANAL ROAD #6
ORANGE BEACH, AL 36561
(251) 981-2255

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.