Active NPI
Jeffrey Glen Clemmons, RPH
- Pharmacist
- Florence, AL
National Provider Identifier
1104970854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13138
- Practice address
- 3522 Cloverdale Rd
Florence, AL 35633-1339 - Phone
- (256) 766-1235
- Fax
- (256) 766-1235
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 13138 | AL | Primary |
Addresses
Primary practice location
3522 Cloverdale Rd
Florence, AL 35633-1339
Mailing address
296 Hazelwood LN
Florence, AL 35634-2346
Phone (256) 757-7010
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 |
|---|---|---|---|
| 13138 | AL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104970854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 HAZELWOOD LN",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356342346",
"telephone_number": "256-757-7010",
"fax_number": "256-766-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 CLOVERDALE RD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356331339",
"telephone_number": "256-766-1235",
"fax_number": "256-766-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMONS",
"first_name": "JEFFREY",
"middle_name": "GLEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.