Healthcare Provider Details

I. General information

NPI: 1548279813
Provider Name (Legal Business Name): SPEARS PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 JOHNSON AVE N
TALLADEGA AL
35160-2484
US

IV. Provider business mailing address

PO BOX 6135
TALLADEGA AL
35161-6135
US

V. Phone/Fax

Practice location:
  • Phone: 256-362-1120
  • Fax: 256-362-1121
Mailing address:
  • Phone: 256-362-1120
  • Fax: 256-362-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number109040
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number109040
License Number StateAL

VIII. Authorized Official

Name: TOMMY C SPEARS
Title or Position: PRESIDENT
Credential: RPH
Phone: 256-362-1120