Active NPI
Angela Royale Blackwell
- Pharmacist
- Irondale, AL
National Provider Identifier
1255673372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16458
- Practice address
- 4500 Montevallo Rd
Irondale, AL 35210-3129 - Phone
- (205) 215-2417
- NPI assigned
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 16458 | AL | Primary |
Addresses
Primary practice location
4500 Montevallo Rd
Irondale, AL 35210-3129
Mailing address
4500 Montevallo Rd
Birmingham, AL 35210
Phone (205) 215-2417
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 |
|---|---|---|---|
| 16458 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1255673372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MONTEVALLO RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35210",
"telephone_number": "205-215-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MONTEVALLO RD",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103129",
"telephone_number": "205-215-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "ANGELA",
"middle_name": "ROYALE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.