Active NPI
Corey Stanley Asarisi, PHARMD
- Pharmacist
- Mobile, AL
National Provider Identifier
1093319733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19790
- Practice address
- 5245 Rangeline Service Rd S
Mobile, AL 36619-9541 - Phone
- (251) 666-7977
- NPI assigned
- Nov 23, 2020
- 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 | 19790 | AL | Primary |
Addresses
Primary practice location
5245 Rangeline Service Rd S
Mobile, AL 36619-9541
Mailing address
9660 Ginkle Rd W
Irvington, AL 36544-3516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19790 | Other | AL | STATE PHARMACY LICENSE |
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": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1093319733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 GINKLE RD W",
"city": "IRVINGTON",
"state": "AL",
"postal_code": "365443516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5245 RANGELINE SERVICE RD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366199541",
"telephone_number": "251-666-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASARISI",
"first_name": "COREY",
"middle_name": "STANLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "19790",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.