Active NPI
David Henry Ennis, PHARMD
- Pharmacist
- Smiths Station, AL
National Provider Identifier
1063344992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15989
- Practice address
- 1414 Lee Road 379
Smiths Station, AL 36877-3027 - Phone
- (706) 325-3518
- NPI assigned
- Jun 3, 2026
- 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 | 15989 | GA | Primary |
Addresses
Primary practice location
1414 Lee Road 379
Smiths Station, AL 36877-3027
Mailing address
1414 Lee Road 379
Smiths Station, AL 36877-3027
Phone (706) 325-3518
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1063344992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 LEE ROAD 379",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368773027",
"telephone_number": "706-325-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 LEE ROAD 379",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368773027",
"telephone_number": "706-325-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "DAVID",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "15989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smiths Station, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.