Active NPI
Mary Beth Durham, RPH
- Pharmacist
- Florence, AL
National Provider Identifier
1073616439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11432
- Practice address
- 2112 Helton Drive
Mer-Rob Pharmacy
Florence, AL 35630 - Phone
- (256) 764-4474
- Fax
- (256) 764-3720
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- 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 | 11432 | AL | Primary |
Addresses
Primary practice location
2112 Helton Drive
Mer-Rob Pharmacy
Florence, AL 35630
Mailing address
110 Martha Ann Lane
Florence, AL 35630
Phone (256) 767-1061
Other names 1
- Mrs. Mary Beth Mirabito
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11432 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mer Rob Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073616439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MARTHA ANN LANE",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-767-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 HELTON DRIVE",
"address_2": "MER-ROB PHARMACY",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-764-4474",
"fax_number": "256-764-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "MARY BETH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY BETH",
"last_name": "MIRABITO",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Florence, 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.