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SOUTHERN MEDICAL INC. NPI 1770597262


NPI Information

NPI: 1770597262
Provider Name: SOUTHERN MEDICAL, INC.
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 01D2277396

Address:
2159 ROCKY RIDGE RD
SUITE 123
HOOVER, AL
ZIP 35216
Phone: (205) 822-1972
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SOUTHERN MEDICAL, INC. is a home infusion therapy pharmacy pharmacy in Hoover, AL. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. SOUTHERN MEDICAL, INC. NPI is 1770597262. The provider is registered as an organization entity type.

The provider's business location address is:

2159 ROCKY RIDGE RD
SUITE 123
HOOVER, AL
ZIP 35216
Phone: (205) 822-1972
Fax: (205) 822-2821

The provider's authorized official is T. Michael Nelson .
The authorized official title is President and has the following contact phone number (205) 822-1972.

The CLIA number assigned to this NPI record is 01D2277396 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 6/25/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251F00000XHome Infusion110489ALABAMANo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4333600000XPharmacy110489ALABAMANo
53336H0001XPharmacyHome Infusion Therapy Pharmacy110489ALABAMAYes

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
10128199OTHERALABAMANCPDP OR NABP NUMBER
2100002722MEDICAIDALABAMA
351057969OTHERALABAMABCBS DME PROVIDER
451527724OTHERALABAMABCBS HOME HEALTH PROVIDER
5009703250MEDICAIDALABAMA
60720330001MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE PROVIDER NUMBER

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: 5/5/2024

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