| NPI | 1205905155 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-07 |
| Last Updated | 2017-02-21 |
| Authorized Official | Teresa Lett Pharmacy Owner Phone: 3345412522 |
| Mailing Address | Po Box 240519 Eclectic, AL 36024-0020 United States Phone: (334) 541-2522 📍 View Map |
| Primary Practice Address | 575 Claud Rd, Ste 2000 Eclectic, AL 36024-6318 United States Phone: (334) 541-2522 | Fax: (334) 541-4436 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AL | 100003024 | - |
| Other (non-Medicare) | - | 1993665 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | AL | 111326 |
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About NPI 1205905155
Eclectic Family Pharmacy, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1205905155. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Eclectic, AL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205905155?
NPI 1205905155 belongs to Eclectic Family Pharmacy, Inc., a Pharmacy, Community/Retail Pharmacy in Eclectic, AL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205905155 active?
The current status of NPI 1205905155 in the NPPES registry is Active. The record was last updated on 2017-02-21.
What specialty is NPI 1205905155?
NPI 1205905155 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205905155?
You can verify NPI 1205905155 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205905155?
The primary practice address on file for NPI 1205905155 is 575 Claud Rd, Eclectic, AL 36024-6318. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205905155 issued?
NPI 1205905155 was first issued (enumerated) on 2006-11-07. The NPPES record was last updated on 2017-02-21.
Practice Location Map
Eclectic Family Pharmacy, Inc. is located at 575 Claud Rd, Eclectic, AL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eclectic Family Pharmacy, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205905155. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 111326 | AL |