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JACKSON'S ROCKY RIDGE PHARMACY INC NPI 1326043522


NPI Information

NPI: 1326043522
Provider Name: JACKSON'S ROCKY RIDGE PHARMACY, INC

Doing Business As: ROCKY RIDGE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 01D2152280

Address:
3346 MORGAN DR
BIRMINGHAM, AL
ZIP 35216
Phone: (205) 822-5200
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JACKSON'S ROCKY RIDGE PHARMACY, INC is a pharmacy in Birmingham, AL. The provider is a 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. JACKSON'S ROCKY RIDGE PHARMACY, INC NPI is 1326043522. The provider is registered as an organization entity type.
The provider Is Doing Business As Rocky Ridge Pharmacy.

The provider's business location address is:

3346 MORGAN DR
BIRMINGHAM, AL
ZIP 35216-052
Phone: (205) 822-5200
Fax: (205) 979-3666

The provider's authorized official is Brad F Jackson .
The authorized official title is President and has the following contact phone number (205) 822-5200.

The CLIA number assigned to this NPI record is 01D2152280 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 5/12/2008.


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
1333600000XPharmacy111519ALABAMAYes

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
1100003250MEDICAIDALABAMA
20102018OTHERALABAMANCPDP
35721890001MEDICARE NSCALABAMA

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.