Active NPI
Connnie Mrey Childs, R.PH.
- Pharmacist
- Daphne, AL
National Provider Identifier
1104110287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11151
- Practice address
- 1698 US Highway 98
Daphne, AL 36526-4252 - Phone
- (251) 626-5783
- NPI assigned
- Jun 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11151 | AL | Primary |
| Pharmacist | 183500000X | E-6979 | MS |
Addresses
Primary practice location
1698 US Highway 98
Daphne, AL 36526-4252
Mailing address
1698 US Highway 98
Daphne, AL 36526-4252
Phone (251) 626-5783
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 |
|---|---|---|---|
| 11151 | AL | MD | Pharmacist |
| E-6979 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1104110287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264252",
"telephone_number": "251-626-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264252",
"telephone_number": "251-626-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "CONNNIE",
"middle_name": "MREY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11151",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-6979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.