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GRAND BAY PHARMACY
NPI 1467766865
Pharmacy - Community/Retail Pharmacy in Grand Bay, AL

Active since July 28, 2010CLIA 01D2192487 · Waiver
10067 GRAND BAY WILMER RD S, GRAND BAY, AL 36541(251) 865-5555(251) 865-3785 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Bay Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND BAY PHARMACY (NPI 1467766865) is a healthcare organization registered as a community/retail pharmacy in Grand Bay, Alabama and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Charles D Cottrell, President, as its authorized official.

NPPES Registry Identity

NPI1467766865
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNEW GRAND BAY PHARMACY, LLC
Location Address10067 GRAND BAY WILMER RD SGrand Bay, AL 36541-5003
Mailing AddressPo Box 129Grand Bay, AL 36541-0129 · (251) 865-1040 · Fax (251) 865-1041
Phone(251) 865-5555
Fax(251) 865-3785
Organization SubpartNo
Authorized OfficialCharles D CottrellPresident · (251) 865-5555
Enumeration DateJuly 28, 2010
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1467766865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AL · 113415
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
10067 GRAND BAY WILMER RD S, Grand Bay, AL 36541
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Other Names 1

Doing Business AsGrand Bay Pharmacy

Other Identifiers 1

Medicaid121508AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2192487

Grand Bay Pharmacy New Grand Bay Pharmacy, LLC · Grand Bay, AL
Active · expires Sep 9, 2026
CLIA Number01D2192487
Laboratory TypePharmacy
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDr. Stanley Ross Hatcher
Laboratory Phone(251) 865-5555
Laboratory LocationGrand Bay Pharmacy New Grand Bay Pharmacy, LLC12475 Hwy 90, Grand Bay, AL 36541
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Grand Bay Pharmacy, LLC's NPI number?

The NPI number for New Grand Bay Pharmacy, LLC is 1467766865. It was assigned to this organization in the NPPES registry on July 28, 2010. The provider is doing business as Grand Bay Pharmacy.

Where is New Grand Bay Pharmacy, LLC located?

New Grand Bay Pharmacy, LLC is located at 10067 Grand Bay Wilmer Rd S, Grand Bay, AL 36541. The listed phone number is (251) 865-5555.

What is New Grand Bay Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does New Grand Bay Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2192487) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Grand Bay Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list New Grand Bay Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New Grand Bay Pharmacy, LLC was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.