Jenny Booth Todd, PHARM D
Individual provider Active NPI Pharmacist · Northport, AL
NPI 1245834829 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1245834829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16215 (AL)
- Practice address
- 4280 Mitt Lary Rd
Northport, AL 35475-4766 - Phone
- (205) 339-0415
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16215 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current |
Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past |
Accepting new patients |
Locations
4280 Mitt Lary Rd
Northport, AL 35475
Phone (205) 339-0415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16215 | AL | Yes |
Addresses
Primary practice location
4280 Mitt Lary Rd
Northport, AL 35475-4766
Mailing address
4280 Mitt Lary Rd
Northport, AL 35475-4766
Phone (205) 339-0415
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. 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.