Provider Demographics
NPI:1205821717
Name:BISHOP PHARMACY INC
Entity Type:Organization
Organization Name:BISHOP PHARMACY INC
Other - Org Name:BISHOP'S PHARMACY & GIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACSIT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:N
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:256-878-5953
Mailing Address - Street 1:103 SAND MOUNTAIN DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1709
Mailing Address - Country:US
Mailing Address - Phone:256-878-5953
Mailing Address - Fax:256-891-2544
Practice Address - Street 1:103 SAND MOUNTAIN DR NE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1709
Practice Address - Country:US
Practice Address - Phone:256-878-5953
Practice Address - Fax:256-891-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7268183500000X
332B00000X, 332BP3500X, 3336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100001670Medicaid
AL009941677Medicaid
AL39976OtherBCBS
AL0321480001Medicare NSC