Active NPI
Jeremy Heath Lane, PHARMD
- Pharmacist
- Russellville, AL
National Provider Identifier
1013233592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15154
- Practice address
- 318 Jackson Ave S
Russellville, AL 35653-2207 - Phone
- (256) 332-8550
- Fax
- (256) 332-8081
- NPI assigned
- Apr 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15154 | AL | Primary |
Addresses
Primary practice location
318 Jackson Ave S
Russellville, AL 35653-2207
Mailing address
318 Jackson Ave S
Russellville, AL 35653-2207
Phone (256) 332-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15154 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy of Littleville Inc | Current | Accepting new patients | |
| Family Pharmacy of Littleville Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Russellville, AL
- NPI 1346064375
-
- Community/Retail Pharmacy
- Russellville, AL
- NPI 1952625964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1013233592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 JACKSON AVE S",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532207",
"telephone_number": "256-332-8550",
"fax_number": "256-332-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 JACKSON AVE S",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532207",
"telephone_number": "256-332-8550",
"fax_number": "256-332-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "JEREMY",
"middle_name": "HEATH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
- Harry Willi Kuberg, M.D.
- Laboratory Corporation of America Holding
- Lakeshore Pediatrics of Russellville
- Lakeshore Pediatrics of Russellville, PC
- Mary Kathleen Laky, PHARM.D
- Jimmy Gregory Lane
- Aaron Anson Legall, PT, DPT
- Leighton Pharmacy Inc
- Leonides V Santos PC
- Littleville Volunteer Fire Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.