Active NPI
John L Redwanski Jr., PHARMD
- Pharmacist
- Camden, AL
National Provider Identifier
1265010177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21805
- Practice address
- 7 Camden Byp
Camden, AL 36726-1707 - Phone
- (334) 682-2900
- NPI assigned
- Mar 31, 2021
- Last updated
- Mar 31, 2021
- Sex
- Male
- 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 | 21805 | AL | Primary |
Addresses
Primary practice location
7 Camden Byp
Camden, AL 36726-1707
Mailing address
7 Camden Byp
Camden, AL 36726-1707
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21805 | 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
7 Camden Byp
Camden, AL 36726
Phone (334) 682-2900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1265010177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CAMDEN BYP",
"city": "CAMDEN",
"state": "AL",
"postal_code": "367261707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CAMDEN BYP",
"city": "CAMDEN",
"state": "AL",
"postal_code": "367261707",
"telephone_number": "334-682-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDWANSKI",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, AL
- William Robertson Phillipi Jr., DMD
- Physicians Care of Camden LLC
- Physicians Care of Clarke
- Physicians Care of Clarke
- Progressive Rehab Services, LLC
- Remembering the Children in the Village (RCV)
- Rural Health Medical Program, Inc. (Yellow Bluff Health Center)
- State of Alabama
- State of Alabama Department of Public Health (Wilcox County Health Dept Flu-Pneu)
- Adam Stephens, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.