TARA PHARMACY SE LLC NPI 1073696365

NPI Information

  • NPI: 1073696365
  • Provider Name: TARA PHARMACY SE LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 211 SUMMIT PKWY
    SUITE 112
    HOMEWOOD, AL
    ZIP 35209
  • Phone: (205) 916-2267

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NPI Details

TARA PHARMACY SE LLC is a long term care pharmacy pharmacy in Homewood, AL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. TARA PHARMACY SE LLC NPI is 1073696365. The provider is registered as an organization entity type.

The provider's business location address is:

211 SUMMIT PKWY
SUITE 112
HOMEWOOD, AL
ZIP 35209-751
Phone: (205) 916-2267

The provider's authorized official is James R Cox .
The authorized official title is Vice President and has the following contact phone number (601) 664-1664.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/25/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy112737ALABAMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10133493OTHERNCPDP NUMBER
2100003676MEDICAIDALABAMA

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: 11/21/2025

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