Provider Demographics
NPI:1588760540
Name:AIRX INC.
Entity type:Organization
Organization Name:AIRX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-389-1355
Mailing Address - Street 1:1520 COUNTY ROAD 8
Mailing Address - Street 2:
Mailing Address - City:JEMISON
Mailing Address - State:AL
Mailing Address - Zip Code:35085-4635
Mailing Address - Country:US
Mailing Address - Phone:205-646-0210
Mailing Address - Fax:205-646-0239
Practice Address - Street 1:1520 COUNTY ROAD 8
Practice Address - Street 2:
Practice Address - City:JEMISON
Practice Address - State:AL
Practice Address - Zip Code:35085-4635
Practice Address - Country:US
Practice Address - Phone:205-646-0210
Practice Address - Fax:205-646-0239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL086763336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002981Medicaid
AL51008033AIROtherBLUE CROSS / BLUE SHEILD
AL100002981Medicaid