Ted B McKinley, PHARMD
Individual provider Active NPI Pharmacist · Orange Beach, AL
NPI 1043749609 · NPPES record last updated Jun 7, 2017
Key facts
- NPI
- 1043749609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17411 (AL)
- Practice address
- 25241 Perdido Beach Blvd Ste W
Orange Beach, AL 36561-3319 - Phone
- (251) 974-1824
- Fax
- (251) 974-1826
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17411 | AL | MD | Pharmacist |
| PS55328 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55328 | FL | |
| Pharmacist | 183500000X | 17411 | AL | Yes |
Addresses
Primary practice location
25241 Perdido Beach Blvd Ste W
Orange Beach, AL 36561-3319
Mailing address
25241 Perdido Beach Blvd Ste W
Orange Beach, AL 36561-3319
Phone (251) 974-1824
Other providers in Orange Beach, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.