Individual provider Active NPI

Josey Mitchell, PHARMDD

  • Pharmacist
  • Orange Beach, AL
National Provider Identifier
1164025102
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17757 Issued in AL
Practice address
25761 Perdido Beach Blvd
Orange Beach, AL 36561-6107
Phone
(251) 974-1590
Fax
(251) 974-1595
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

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.

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

State licenses

LicenseStateTypeSpecialty
17757ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. CurrentSince Jan 28, 2024 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Nov 22, 2020 Accepting new patients

Locations

25761 Perdido Beach Blvd
Orange Beach, AL 36561
Phone (251) 974-1590

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17757 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

25761 Perdido Beach Blvd
Orange Beach, AL 36561-6107

Mailing address

5685 Bayou Saint John Ave
Orange Beach, AL 36561-4142
Phone (251) 616-8377

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
17757OtherALALBOP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2021.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1164025102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 BAYOU SAINT JOHN AVE",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365614142",
            "telephone_number": "251-616-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25761 PERDIDO BEACH BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365616107",
            "telephone_number": "251-974-1590",
            "fax_number": "251-974-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOSEY",
        "name_prefix": "Dr.",
        "credential": "PHARMDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBOP",
            "identifier": "17757",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.