Healthcare Provider Details

I. General information

NPI: 1942335609
Provider Name (Legal Business Name): BISHOP'S PHARMACY AND GIFTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 06/04/2010
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 Code251E00000X
TaxonomyHome Health Agency
License Number101599
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number101599
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number101599
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number101599
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number101599
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number101599
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number101599
License Number StateAL

VIII. Authorized Official

Name: TIM N BISHOP
Title or Position: OWNER PRESIDENT
Credential: RPH
Phone: 256-878-5953