Active NPI
Alita M. Perry, R.PH.
- Pharmacist
- Grand Bay, AL
National Provider Identifier
1073827614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16299
- Practice address
- 14281 Cat Deakle Rd
Grand Bay, AL 36541-3361 - Phone
- (251) 865-0218
- Fax
- (251) 639-5125
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15788 | LA | |
| Pharmacist | 183500000X | E7809 | MS | |
| Pharmacist | 183500000X | 16299 | AL | Primary |
Addresses
Primary practice location
14281 Cat Deakle Rd
Grand Bay, AL 36541-3361
Mailing address
14281 Cat Deakle Rd
Grand Bay, AL 36541-3361
Phone (251) 865-0218
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15788 | Other | LA | LA BOARD OF PHARMACY |
| 16299 | Other | AL | ALA BOARD OF PHARMACY |
| E7809 | Other | MS | MS. BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 16299 | AL | MD | Pharmacist |
| 15788 | LA | MD | Pharmacist |
| E7809 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1073827614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14281 CAT DEAKLE RD",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365413361",
"telephone_number": "251-865-0218",
"fax_number": "251-639-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14281 CAT DEAKLE RD",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365413361",
"telephone_number": "251-865-0218",
"fax_number": "251-639-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ALITA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15788",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E7809",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA BOARD OF PHARMACY",
"identifier": "15788",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALA BOARD OF PHARMACY",
"identifier": "16299",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS. BOARD OF PHARMACY",
"identifier": "E7809",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Bay, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.