Individual provider Active NPI

Joe L. McNamara, RPH

  • Nutrition Support Pharmacist
  • Hoover, AL
National Provider Identifier
1114004397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
9891 Issued in AL
Practice address
2159 Rocky Ridge Rd
Ste 123
Hoover, AL 35216-5191
Phone
(205) 822-1972
Fax
(205) 822-2821
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 9891 AL Primary

Addresses

Primary practice location

2159 Rocky Ridge Rd
Ste 123
Hoover, AL 35216-5191

Mailing address

3074 Brook Highland Dr
Birmingham, AL 35242-5818
Phone (205) 991-6761

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

LicenseStateTypeSpecialty
9891ALMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114004397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 BROOK HIGHLAND DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425818",
            "telephone_number": "205-991-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 ROCKY RIDGE RD",
            "address_2": "STE 123",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165191",
            "telephone_number": "205-822-1972",
            "fax_number": "205-822-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "JOE",
        "middle_name": "L.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "AL",
            "license": "9891",
            "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 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.

Verify at the official NPI Registry.