FRED C SANDLIN JR NPI 1225056567

NPI Information

NPI: 1225056567
Provider Name: FRED C SANDLIN JR

Doing Business As: FREDS PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
797 MILITARY ST S
HAMILTON, AL
ZIP 35570
Phone: (205) 921-3193
Get Directions

FRED C SANDLIN JR is a durable medical equipment medical supplies in Hamilton, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FRED C SANDLIN JR NPI is 1225056567. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Pharmacy.

The provider's business location address is:

797 MILITARY ST S
HAMILTON, AL
ZIP 35570-737
Phone: (205) 921-3193
Fax: (205) 921-2576

The provider's authorized official is Fred C Sandlin .
The authorized official title is Owner and has the following contact phone number (205) 921-3193.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/20/2013.

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
1	251E00000X	Home Health		104160	ALABAMA	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	104160	ALABAMA	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	104160	ALABAMA	No
4	333600000X	Pharmacy		104160	ALABAMA	No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy	104160	ALABAMA	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	104160	ALABAMA	No
7	3336L0003X	Pharmacy	Long Term Care Pharmacy	104160	ALABAMA	No
8	3336M0002X	Pharmacy	Mail Order Pharmacy	104160	ALABAMA	No
9	3336S0011X	Pharmacy	Specialty Pharmacy	104160	ALABAMA	No
10	332B00000X	Durable Medical Equipment & Medical Supplies		104160	ALABAMA	Yes

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
1	510-68006	OTHER	ALABAMA	BCBS HIT
2	=========	OTHER		CHAMPUS/TRICARE
3	000051121	MEDICAID	ALABAMA
4	00330656	MEDICAID	MISSISSIPPI
5	100003563	MEDICAID	ALABAMA
6	510-51121	OTHER	ALABAMA	BCBS
7	009922585	MEDICAID	ALABAMA
8	1537359	OTHER		UMWA
9	051554722FRE	MEDICARE UPIN	ALABAMA
10	0107361	OTHER	MISSISSIPPI	BCBS MS
11	00440633	MEDICAID	MISSISSIPPI
12	4308840001	MEDICARE NSC	ALABAMA

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

NPI Synchronization or Removal

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