Active NPI
Kenneth Wayne Prickett
- Pharmacist
- Bessemer, AL
National Provider Identifier
1255446050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11031
- Practice address
- 1310 Eastern Valley Rd
Bessemer, AL 35020-8609 - Phone
- (205) 425-5258
- Fax
- (205) 425-1373
- NPI assigned
- Aug 20, 2006
- 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 | 11031 | AL | Primary |
Addresses
Primary practice location
1310 Eastern Valley Rd
Bessemer, AL 35020-8609
Mailing address
2330 Hawksbury LN
Hoover, AL 35226-1523
Phone (205) 979-3714
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11031 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payless Drugs, Inc. | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255446050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 HAWKSBURY LN",
"city": "HOOVER",
"state": "AL",
"postal_code": "352261523",
"telephone_number": "205-979-3714",
"fax_number": "205-425-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 EASTERN VALLEY RD",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350208609",
"telephone_number": "205-425-5258",
"fax_number": "205-425-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICKETT",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.