Active NPI
Elaine Parker King
- Pharmacist
- Dothan, AL
National Provider Identifier
1053738500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12694
- Practice address
- 4601 Montgomery Hwy Ste 300
Dothan, AL 36303-1522 - Phone
- (334) 340-1113
- NPI assigned
- Mar 22, 2014
- 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 | 12694 | AL | Primary |
Addresses
Primary practice location
4601 Montgomery Hwy Ste 300
Dothan, AL 36303-1522
Mailing address
4601 Montgomery Hwy Ste 300
Dothan, AL 36303-1522
Phone (334) 340-1113
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12694 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395446400000",
"number": "1053738500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 MONTGOMERY HWY STE 300",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031522",
"telephone_number": "334-340-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MONTGOMERY HWY STE 300",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031522",
"telephone_number": "334-340-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ELAINE",
"middle_name": "PARKER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-22",
"last_updated": "2014-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.