Healthcare Provider Details

I. General information

NPI: 1518045533
Provider Name (Legal Business Name): JEFFERSON HEALTH SYSTEM PHARMACY #3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 ARLINGTON AVE
BESSEMER AL
35020-4221
US

IV. Provider business mailing address

2201 ARLINGTON AVE
BESSEMER AL
35020-4221
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-1064
  • Fax: 205-930-1988
Mailing address:
  • Phone: 205-930-1064
  • Fax: 205-930-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number170009
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number170009
License Number StateAL

VIII. Authorized Official

Name: DR. GLEN A THOMPSON
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARM.D.
Phone: 205-918-2352