Jack Keegan Hunt

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

T65754 Issued in AL

Practice address

4650 W Main St
Dothan, AL 36305-9419

Phone

(334) 792-6824

NPI assigned

Jun 7, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Publix

  • Pharmacist
  • Dothan, AL
  • NPI 1477001352
  NPD (past)
• Publix Alabama LLC

  • Community/Retail Pharmacy
  • Dothan, AL
  • NPI 1053628826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1205565082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BRIARWOOD DR APT 10B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363305017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059419",
            "telephone_number": "334-792-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JACK",
        "middle_name": "KEEGAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AL",
            "license": "T65754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "T65754",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Publix.org",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4650 W Main St",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363059419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lewis Gilbert Humphreys Jr., D.M.D.
• Hayden Hundley, MD
• Katrina Hundley, DPT
• Seth Hundley
• William Benjamin Hundley, M.D.
• Lewis A Hunt, MD
• Karis Hurst, NP
• Tara Averil Hurstell, AGACNP-BC
• Zain S Hussain, MD
• Alison Hussey

• Pharmacy Technician in Dothan, AL
• Providers in Dothan, AL by specialty
• Pharmacy Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.