Individual provider Active NPI

Charles Dwight Tipton, RPH

  • Pharmacist
  • Huntsville, AL
National Provider Identifier
1063519007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7752 Issued in AL
Practice address
2701 Patton Rd SW
Suite E
Huntsville, AL 35805-4352
Phone
(256) 536-1910
Fax
(256) 536-1722
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7752 AL Primary

Addresses

Primary practice location

2701 Patton Rd SW
Suite E
Huntsville, AL 35805-4352

Mailing address

2701 Patton Rd SW
Suite E
Huntsville, AL 35805-4352
Phone (256) 536-1910

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7752ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Phil'S Pills Incorporated Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063519007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PATTON RD SW",
            "address_2": "SUITE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054352",
            "telephone_number": "256-536-1910",
            "fax_number": "256-536-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PATTON RD SW",
            "address_2": "SUITE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054352",
            "telephone_number": "256-536-1910",
            "fax_number": "256-536-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "CHARLES",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "7752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, 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.

Verify at the official NPI Registry.