1st Street Pharmacy, LLC
NPI 1417435876ActiveOrganization· Pharmacy· Childersburg, AL
Pharmacy in Childersburg, Alabama, registered in NPPES in July 2018. The authorized official on file is Jennifer Stamps, PHARM.D., Pharmacy Manager. Medicare paid $1,218 for services to 11 patients in 2024.
Overview
| NPI | 1417435876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2018 |
| Last updated in NPPES | Dec 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 22 across 3 procedure codes |
| Paid by Medicare | $1,218 |
Other Pharmacy providers in Childersburg
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