Active NPI
Tara Owen Queen, RPH
- Pharmacist
- Birmingham, AL
National Provider Identifier
1124238290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13549
- Practice address
- 2041 Eagle Ridge Dr
Birmingham, AL 35242-5442 - Phone
- (205) 937-8181
- NPI assigned
- May 23, 2007
- 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 | 13549 | AL | Primary |
Addresses
Primary practice location
2041 Eagle Ridge Dr
Birmingham, AL 35242-5442
Mailing address
2041 Eagle Ridge Dr
Birmingham, AL 35242-5442
Phone (205) 937-8181
Other practice location 1
2529 Westminster Cir
Birmingham, AL 35242-4628
Phone (205) 937-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13549 | Other | AL | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 13549 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1124238290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 EAGLE RIDGE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425442",
"telephone_number": "205-937-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 EAGLE RIDGE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425442",
"telephone_number": "205-937-8181"
}
],
"practiceLocations": [
{
"address_1": "2529 Westminster Cir",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352424628",
"country_code": "US",
"telephone_number": "205-937-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEEN",
"first_name": "TARA",
"middle_name": "OWEN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "13549",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.