Active NPI
Charles David Joiner Jr., PHARMACIST
- Pharmacist
- Moulton, AL
National Provider Identifier
1174692107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10877
- Practice address
- 22747 Al Hwy 24 Ste D
Moulton, AL 35650 - Phone
- (256) 974-9024
- Fax
- (256) 905-0049
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 10877 | AL | Primary |
Addresses
Primary practice location
22747 Al Hwy 24 Ste D
Moulton, AL 35650
Mailing address
207 Paine Ave
Moulton, AL 35650-1239
Phone (256) 974-9024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10877 | Other | AL | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10877 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town & Country Pharmacy Inc | Past | Accepting new patients | |
| Moultrie Pharmacy at Caddo LLC | 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.
-
dba Town and Country Pharmacy
- Community/Retail Pharmacy
- Moulton, AL
- NPI 1578677563
-
dba Moultrie Pharmacy at Caddo
- Community/Retail Pharmacy
- Moulton, AL
- NPI 1841941093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174692107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 PAINE AVE",
"city": "MOULTON",
"state": "AL",
"postal_code": "356501239",
"telephone_number": "256-974-9024",
"fax_number": "256-905-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22747 AL HWY 24 STE D",
"city": "MOULTON",
"state": "AL",
"postal_code": "35650",
"telephone_number": "256-974-9024",
"fax_number": "256-905-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOINER",
"first_name": "CHARLES",
"middle_name": "DAVID",
"name_suffix": "Jr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "10877",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moulton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.