Healthcare Provider Details

I. General information

NPI: 1366766891
Provider Name (Legal Business Name): CAREDIRECT RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7895 HIGHWAY 119 STE 1
ALABASTER AL
35007-7554
US

IV. Provider business mailing address

7895 HIGHWAY 119 STE 1
ALABASTER AL
35007-7554
US

V. Phone/Fax

Practice location:
  • Phone: 866-829-3978
  • Fax: 866-244-4755
Mailing address:
  • Phone: 866-829-3978
  • Fax: 866-244-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JORDAN COGGIN
Title or Position: PRESIDENT
Credential:
Phone: 866-829-3978