NPIMap

Individual provider Active NPI

Jennifer Baldone, PHARMD

  • Pharmacist
  • Odenville, AL
National Provider Identifier
1124424288
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17030 Issued in AL
Practice address
140 Council Dr
Odenville, AL 35120-4495
Phone
(205) 629-6303
Fax
(205) 629-6357
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17030 AL Primary

Addresses

Primary practice location

140 Council Dr
Odenville, AL 35120-4495

Mailing address

140 Council Dr
Odenville, AL 35120-4495

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17030ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet Drugs, Inc Current Accepting new patients
Odenville Drugs, Inc Current Accepting new patients

Locations

140 Council Dr
Odenville, AL 35120
Phone (205) 629-6303

Organizations & group practices 2

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1124424288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COUNCIL DR",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351204495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNCIL DR",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351204495",
            "telephone_number": "205-629-6303",
            "fax_number": "205-629-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONE",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.