Active NPI
Jones Stephen Davis, RPH
- Pharmacist
- Alabaster, AL
National Provider Identifier
1114091873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9955
- Practice address
- 1022 First Street North
Suite 100
Alabaster, AL 35007 - Phone
- (205) 621-2310
- Fax
- (205) 621-2318
- NPI assigned
- Nov 17, 2006
- 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 | 9955 | AL | Primary |
Addresses
Primary practice location
1022 First Street North
Suite 100
Alabaster, AL 35007
Mailing address
102 King Charles Lane
Alabaster, AL 35007
Phone (205) 664-5797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119380 | Other | NCPDP | |
| 0129103 | Other | NCPDP |
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 |
|---|---|---|---|
| 9955 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114091873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 KING CHARLES LANE",
"city": "ALABASTER",
"state": "AL",
"postal_code": "35007",
"telephone_number": "205-664-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 FIRST STREET NORTH",
"address_2": "SUITE 100",
"city": "ALABASTER",
"state": "AL",
"postal_code": "35007",
"telephone_number": "205-621-2310",
"fax_number": "205-621-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JONES",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "9955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0119380",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0129103",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Alabaster, 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.