Active NPI
Trenton Jared Webb, PHARMD
- Pharmacist
- Fairfield, AL
National Provider Identifier
1306534771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19699
- Practice address
- 4901 Gary Ave
Fairfield, AL 35064-1348 - Phone
- (205) 785-4343
- NPI assigned
- Apr 25, 2023
- Last updated
- Apr 25, 2023
- 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 | 19699 | AL | Primary |
Addresses
Primary practice location
4901 Gary Ave
Fairfield, AL 35064-1348
Mailing address
4901 Gary Ave
Fairfield, AL 35064-1348
Phone (205) 785-4343
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 |
|---|---|---|---|
| 19699 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payless Drugs, Inc. | 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, 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": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1306534771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GARY AVE",
"city": "FAIRFIELD",
"state": "AL",
"postal_code": "350641348",
"telephone_number": "205-785-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 GARY AVE",
"city": "FAIRFIELD",
"state": "AL",
"postal_code": "350641348",
"telephone_number": "205-785-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "TRENTON",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.