MEDICARE: APOTHECARY AT CAHABA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	113692	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0137112	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1316239445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOTHECARY AT CAHABA INC

Provider Business Mailing Address
First Line	:	3317 ALTALOMA DR
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-4283
Country	:	US
Telephone Number	:	205-977-9299
Fax Number	:	205-977-9288

Provider Business Practice Location Address
First Line	:	3135 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5244
Country	:	US
Telephone Number	:	205-977-9299
Fax Number	:	205-977-9288

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	JIMIT PAREKH
Credential	:
Telephone Number	:	205-356-4263

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	12/27/2020

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