Active NPI
Simone Spellen, PHARM D
- Pharmacist
- Hoover, AL
National Provider Identifier
1104234368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17864
- Practice address
- 5346 Stadium Trace Pkwy
Hoover, AL 35244-4582 - Phone
- (205) 682-8078
- NPI assigned
- Jul 31, 2014
- 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 | 17864 | AL | Primary |
Addresses
Primary practice location
5346 Stadium Trace Pkwy
Hoover, AL 35244-4582
Mailing address
5346 Stadium Trace Pkwy
Hoover, AL 35244-4582
Phone (205) 682-8078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17864 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1104234368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 STADIUM TRACE PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444582",
"telephone_number": "205-682-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 STADIUM TRACE PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444582",
"telephone_number": "205-682-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLEN",
"first_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.