Active NPI
Payam Matthew Teimoorian
- Pharmacist
- Mobile, AL
National Provider Identifier
1174197271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21718
- Practice address
- 3948 Airport Blvd
Mobile, AL 36608-1624 - Phone
- (251) 345-3394
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 21718 | AL | Primary |
Addresses
Primary practice location
3948 Airport Blvd
Mobile, AL 36608-1624
Mailing address
1522 Stone Hedge Dr W
Mobile, AL 36695-4484
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1174197271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 STONE HEDGE DR W",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081624",
"telephone_number": "251-345-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIMOORIAN",
"first_name": "PAYAM",
"middle_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- William Riley Taylor, WILLIAM TAYLOR
- Taylor's House of Camellias LLC (Taylor's House of Camellias Transportation)
- Team Adaptive, Inc.
- Tecs Home LLC
- Marco Teeter, DO
- Teletherapy Long-Distance Care
- Telomere Concierge
- Kimberly Michelle Temme, CRNP
- Ashley Temple, FNP
- Tender Loving Care in Home and Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.