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DOUBLE OAK MOUNTAIN PHARMACY LLC NPI 1154693737


NPI Information

NPI: 1154693737
Provider Name: DOUBLE OAK MOUNTAIN PHARMACY LLC

Doing Business As: DOUBLE OAK MOUNTAIN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 01D2157426

Address:
5510 HIGHWAY 280 STE 123
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 991-0800
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DOUBLE OAK MOUNTAIN PHARMACY LLC is a community/retail pharmacy pharmacy in Birmingham, AL. The provider is 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. DOUBLE OAK MOUNTAIN PHARMACY LLC NPI is 1154693737. The provider is registered as an organization entity type.
The provider Is Doing Business As Double Oak Mountain Pharmacy.

The provider's business location address is:

5510 HIGHWAY 280 STE 123
BIRMINGHAM, AL
ZIP 35242-582
Phone: (205) 991-0800
Fax: (205) 991-0810

The provider's authorized official is Joseph Feick .
The authorized official title is Owner/tch/ao and has the following contact phone number (205) 991-0800.

The CLIA number assigned to this NPI record is 01D2157426 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 2/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy113854ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135221MEDICAIDALABAMA
21026739021MEDICARE NSC
32133626OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.