Active NPI
Carla In McEwen
- Pharmacist
- Fultondale, AL
National Provider Identifier
1194301440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13688
- Practice address
- 3524 Decatur Hwy
Fultondale, AL 35068-1366 - Phone
- (877) 608-4995
- NPI assigned
- Mar 18, 2021
- Last updated
- Mar 18, 2021
- 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 | 183500000X | 13688 | AL | Primary |
Addresses
Primary practice location
3524 Decatur Hwy
Fultondale, AL 35068-1366
Mailing address
7895 Highway 119 Ste 1
Alabaster, AL 35007-7554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220117 | Medicaid | AL |
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 |
|---|---|---|---|
| 13688 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1194301440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7895 HIGHWAY 119 STE 1",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350077554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 DECATUR HWY",
"city": "FULTONDALE",
"state": "AL",
"postal_code": "350681366",
"telephone_number": "877-608-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "CARLA",
"middle_name": "IN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220117",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fultondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.