Active NPI
Douglas Blake Rodenberry, PHARMD
- Pharmacist
- Robertsdale, AL
National Provider Identifier
1043543416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16216
- Practice address
- 21951 State Highway 59 S
Robertsdale, AL 36567-8716 - Phone
- (251) 947-5777
- NPI assigned
- Sep 16, 2009
- Last updated
- Sep 16, 2009
- 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 | 16216 | AL | Primary |
Addresses
Primary practice location
21951 State Highway 59 S
Robertsdale, AL 36567-8716
Mailing address
11122 Bulb Dr
Daphne, AL 36526-5401
Phone (251) 621-2027
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 |
|---|---|---|---|
| 16216 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1043543416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11122 BULB DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265401",
"telephone_number": "251-621-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21951 STATE HIGHWAY 59 S",
"city": "ROBERTSDALE",
"state": "AL",
"postal_code": "365678716",
"telephone_number": "251-947-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODENBERRY",
"first_name": "DOUGLAS",
"middle_name": "BLAKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robertsdale, AL
- Roberto V Pischek DMD PC
- Robertsdale Nursing Home Inc
- Robertsdale Nursing Home, Inc. (Robertsdale Outpatient Rehabilitation Clinc)
- Robertsdale Urgent Care LLC
- Deanna Adlington Robinson, M.S.,CCC-SLP
- Annelise Romine, COTA/L
- Jessica Suzanne Ryan, PHD
- Sacred Angels LLC
- Eugene Saiter, M.D.
- Michael T Sanford, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.