Healthcare Provider Details

I. General information

NPI: 1205821717
Provider Name (Legal Business Name): BISHOP PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SAND MOUNTAIN DR NE
ALBERTVILLE AL
35950-1709
US

IV. Provider business mailing address

103 SAND MOUNTAIN DR NE
ALBERTVILLE AL
35950-1709
US

V. Phone/Fax

Practice location:
  • Phone: 256-878-5953
  • Fax: 256-891-2544
Mailing address:
  • Phone: 256-878-5953
  • Fax: 256-891-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7268
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY N BISHOP
Title or Position: OWNER/PHARMACSIT
Credential: P.D.
Phone: 256-878-5953