Active NPI
Jodi Travis, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Birmingham, AL
National Provider Identifier
1164701470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 14832
- Practice address
- 1600 20TH St S Ste E
Birmingham, AL 35205-4939 - Phone
- (205) 212-5777
- Fax
- (205) 212-5783
- NPI assigned
- Aug 4, 2011
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 14832 | AL | Primary |
Addresses
Primary practice location
1600 20TH St S Ste E
Birmingham, AL 35205-4939
Mailing address
1600 20TH St S Ste E
Birmingham, AL 35205-4939
Phone (205) 212-5777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14832 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1164701470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 20TH ST S STE E",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054939",
"telephone_number": "205-212-5777",
"fax_number": "205-212-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 20TH ST S STE E",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054939",
"telephone_number": "205-212-5777",
"fax_number": "205-212-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "JODI",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AL",
"license": "14832",
"primary": true
}
],
"identifiers": [],
"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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.