Active NPI
Erin Humbles Fonbah, PHARM.D.
- Pharmacist
- Sylacauga, AL
National Provider Identifier
1295016137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16019
- Practice address
- 100 W Fort Williams St
Sylacauga, AL 35150-2430 - Phone
- (256) 249-8646
- Fax
- (256) 249-9319
- NPI assigned
- Sep 6, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16019 | AL | Primary |
| Pharmacist | 183500000X | 44561 | TX | |
| Pharmacist | 183500000X | 18703 | LA |
Addresses
Primary practice location
100 W Fort Williams St
Sylacauga, AL 35150-2430
Mailing address
2012 River Birch Way
Birmingham, AL 35242-6754
Phone (205) 983-3734
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 |
|---|---|---|---|
| 18703 | LA | MD | Pharmacist |
| 44561 | TX | MD | Pharmacist |
| 16019 | AL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1295016137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 RIVER BIRCH WAY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426754",
"telephone_number": "205-983-3734",
"fax_number": "205-408-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W FORT WILLIAMS ST",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502430",
"telephone_number": "256-249-8646",
"fax_number": "256-249-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONBAH",
"first_name": "ERIN",
"middle_name": "HUMBLES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16019",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44561",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.