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SPECIALTY RX ALABAMA
Complete NPI Record 1205523727
Pharmacy - Long Term Care Pharmacy in Cullman, AL

NPI Status: Active since April 24, 2023

Contact Information

1824 MAIN AVE SW
CULLMAN, AL
ZIP 35055
Phone: (256) 739-0095
Fax: (256) 736-5535

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Title or Position
  26. Authorized Official Telephone Number
  27. Healthcare Provider Taxonomy Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Is Organization Subpart
  30. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1205523727. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1205523727
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The name of the organization provider. If the provider is an organization, this is the legal business name.
Employer Identification Number EIN: UNAVAIL
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
The city name in the mailing address of the provider being identified.
Provider Other Organization Name: SPECIALTY RX ALABAMA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Other Organization Name Type Code: 3
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider First Line Business Mailing Address: 1824 MAIN AVE SW
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address City Name: CULLMAN
The first line 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 Business Mailing Address State Name: AL
The city name in the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 350555253
The State code in the location of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 2567390095
The country code in the location address of the provider being identified.
Provider Business Mailing Address Fax Number: 2567365535
The telephone number associated with the location address of the provider being identified.
Provider First Line Business Practice Location Address: 1824 MAIN AVE SW
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address City Name: CULLMAN
The date that a record was last updated or changed.
Provider Business Practice Location Address State Name: AL
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Practice Location Address Postal Code: 350555253
The first name of the authorized official.
Provider Business Practice Location Address Country Code If outside U S : US
The title or position of the authorized official.
Provider Business Practice Location Address Telephone Number: 2567390095
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address Fax Number: 2567365535
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Enumeration Date: 4/24/2023
Last Update Date: 3/29/2024
Authorized Official Last Name: ZUPNICK
Authorized Official First Name: JOEL
Authorized Official Title or Position: VICE PRESIDENT
The title or position of the authorized official.
Authorized Official Telephone Number: 9082416337
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 3336L0003X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
NPI Certification Date: 3/29/2024