Kevin Nicholas Astle, PHARM.D.
Individual provider Active NPI Pharmacist · Mobile, AL
NPI 1104372937 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1104372937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19316 (AL)
- Practice address
- 650 Clinic Dr
Mobile, AL 36688-0001 - Phone
- (251) 445-9320
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19316 | AL | MD | Pharmacist |
| PS55310 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55310 | FL | |
| Pharmacist | 183500000X | 19316 | AL | Yes |
Addresses
Primary practice location
650 Clinic Dr
Mobile, AL 36688-0001
Mailing address
650 Clinic Dr
Mobile, AL 36688-0001
Phone (251) 445-9320
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.