Active NPI
Jacey Leigh Calhoun, PHARM.D.
- Pharmacist
- Dothan, AL
National Provider Identifier
1023148558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14613
- Practice address
- 1909 Honeysuckle Rd
Dothan, AL 36305-4289 - Phone
- (334) 836-0890
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- 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 | 14613 | AL | Primary |
Addresses
Primary practice location
1909 Honeysuckle Rd
Dothan, AL 36305-4289
Mailing address
484 Sandstone Dr
Dothan, AL 36303-7308
Phone (334) 692-3680
Other names 1
- Jacey Leigh Calhoun
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 |
|---|---|---|---|
| 14613 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacks Enterprises-Dothan Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Dothan, AL
- NPI 1215098033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023148558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 SANDSTONE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363037308",
"telephone_number": "334-692-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054289",
"telephone_number": "334-836-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "JACEY",
"middle_name": "LEIGH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACEY",
"last_name": "CALHOUN",
"middle_name": "LEIGH",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.