Jeanna Bulman
Individual provider Active NPI Pharmacist · Orange Beach, AL
NPI 1235544248 · NPPES record last updated Jun 27, 2014
Key facts
- NPI
- 1235544248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12932 (AL)
- Practice address
- 24395 Lauder PL
Orange Beach, AL 36561-3804 - Phone
- (251) 752-9898
- NPI assigned
- Jun 27, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12932 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12932 | AL | Yes |
Addresses
Primary practice location
24395 Lauder PL
Orange Beach, AL 36561-3804
Mailing address
24395 Lauder Place
Orange Beach, AL 36561
Phone (251) 752-9898
NPI Registry JSON
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1235544248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24395 LAUDER PLACE",
"city": "ORANGE BEACH",
"state": "AL",
"postal_code": "36561",
"telephone_number": "251-752-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24395 LAUDER PL",
"city": "ORANGE BEACH",
"state": "AL",
"postal_code": "365613804",
"telephone_number": "251-752-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULMAN",
"first_name": "JEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Beach, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.