Individual provider Active NPI

Dustin J Beaty

  • Pharmacist
  • Jasper, AL
National Provider Identifier
1245388495
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13754 Issued in AL
Practice address
201 19TH St E
Jasper, AL 35501-5457
Phone
(205) 387-1403
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13754 AL Primary

Addresses

Primary practice location

201 19TH St E
Jasper, AL 35501-5457

Mailing address

2331 Hidden Ridge LN
Jasper, AL 35504-7263
Phone (205) 522-9583

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

LicenseStateTypeSpecialty
13754ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Health Services LLC Current Accepting new patients
Carbon Hill Drugs, LLC Current Accepting new patients
Carbon Hill Drugs, LLC Current Accepting new patients

Locations

201 19th St E
Jasper, AL 35501
Phone (205) 387-1403

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1245388495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HIDDEN RIDGE LN",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047263",
            "telephone_number": "205-522-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015457",
            "telephone_number": "205-387-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "DUSTIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13754",
            "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 Jul 21, 2020; 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.