Active NPI
Tracy Darryl Vinson, RPH
- Pharmacist
- Vestavia Hills, AL
National Provider Identifier
1083307268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10943
- Practice address
- 784 Montgomery Hwy
Vestavia Hills, AL 35216-1800 - Phone
- (205) 824-6010
- NPI assigned
- Jun 1, 2023
- 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 | 10943 | AL | Primary |
Addresses
Primary practice location
784 Montgomery Hwy
Vestavia Hills, AL 35216-1800
Mailing address
784 Montgomery Hwy
Vestavia Hills, AL 35216-1800
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 |
|---|---|---|---|
| 10943 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1083307268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 MONTGOMERY HWY",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352161800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 MONTGOMERY HWY",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352161800",
"telephone_number": "205-824-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "TRACY",
"middle_name": "DARRYL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.