Active NPI
Terrell Davis Clement, RPH
- Pharmacist
- Jasper, AL
National Provider Identifier
1235650342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9863
- Practice address
- 1801 Highway 78 E
Jasper, AL 35501-4037 - Phone
- (205) 221-5110
- NPI assigned
- Jun 28, 2017
- 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 | 9863 | AL | Primary |
Addresses
Primary practice location
1801 Highway 78 E
Jasper, AL 35501-4037
Mailing address
2509 Arkadelphia Rd
Jasper, AL 35504-7718
Phone (205) 275-0047
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9863 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1235650342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 ARKADELPHIA RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355047718",
"telephone_number": "205-275-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HIGHWAY 78 E",
"city": "JASPER",
"state": "AL",
"postal_code": "355014037",
"telephone_number": "205-221-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "TERRELL",
"middle_name": "DAVIS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "9863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.