Active NPI
Rodney Dalton Logan, B.S.
- Pharmacist
- Russellville, AL
National Provider Identifier
1053535138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8045
- Practice address
- 14001 Highway 43 Ste 13
Russellville, AL 35653-2849 - Phone
- (256) 331-1919
- Fax
- (251) 331-1960
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8045 | AL | Primary |
Addresses
Primary practice location
14001 Highway 43 Ste 13
Russellville, AL 35653-2849
Mailing address
2230 Railroad St
Leighton, AL 35646-3819
Phone (256) 446-6767
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8045 | AL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053535138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 RAILROAD ST",
"city": "LEIGHTON",
"state": "AL",
"postal_code": "356463819",
"telephone_number": "256-446-6767",
"fax_number": "256-446-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 HIGHWAY 43 STE 13",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532849",
"telephone_number": "256-331-1919",
"fax_number": "251-331-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "RODNEY",
"middle_name": "DALTON",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "8045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, 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.