Medicap Pharmacy

LBN: Health Services Diversified, Inc.
Medicap Pharmacy is an health care organization with primary practice located at 104 Ecor Rouge Pl , Fairhope AL 36532-3062. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Health Services Diversified, Inc. can be contacted via phone (251) 929-1017, or through Silvio, Jodi C. via phone (251) 929-1017.

Contact Information

Primary practice address
104 Ecor Rouge Pl Fairhope AL 36532-3062
Phone: (251) 929-1017
Fax: (251) 929-1018
Website:
Map and Directions
Authorized official contact:
Name: Silvio, Jodi C. P.D.
Phone: (251) 929-1017

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 111749 Alabama
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 111749 Alabama
Suppliers / Pharmacy 333600000X 111749 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X 111749 Alabama
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 111749 Alabama
Suppliers / Long Term Care Pharmacy 3336L0003X 111749 Alabama
Suppliers / Mail Order Pharmacy 3336M0002X 111749 Alabama

Profile Details

NPI number 1124043963
LBN Legal business name Health Services Diversified, Inc.
DBA Doing business as Medicap Pharmacy
Authorized official Silvio, Jodi C. P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124043963 NPPES
Alabama MEDICAID 100003187
Alabama MEDICAID 009938825

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