OrganizationActive
Fort Payne Pharmacy LLC
NPI 1942011663 · Community/Retail Pharmacy · Fort Payne, AL
Provider details
- NPI number
- 1942011663
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Leatricia Bonner, Owner(256) 845-3402
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1614a Glenn Blvd Sw
Fort Payne, AL 35968-3522
Phone: (256) 845-3402
Fax: (256) 845-3289
Street-level locationGet directions
Mailing address
1614a Glenn Blvd Sw
Fort Payne, AL 35968-3522
Other names (DBA / former)
- Former legal business name
- Fort Payne Pharmacy LLC
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.