Active NPI
Judy Rowe St John, RPH
- Pharmacist
- Andalusia, AL
National Provider Identifier
1316016124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7930
- Practice address
- 837 S Three Notch St
Andalusia, AL 36420-5321 - Phone
- (334) 222-1141
- Fax
- (334) 222-8361
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7930 | AL | Primary |
| Pharmacist | 183500000X | PS011862 | GA | |
| Pharmacist | 183500000X | PS20113 | FL |
Addresses
Primary practice location
837 S Three Notch St
Andalusia, AL 36420-5321
Mailing address
21075 Rabren Rd
Andalusia, AL 36421-8115
Phone (334) 222-9646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7930 | Other | AL | PHARMACIST LICENSE |
| PS20113 | Other | FL | PHARMACIST LICENSE |
| PS011862 | Other | GA | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7930 | AL | MD | Pharmacist |
| PS20113 | FL | MD | Pharmacist |
| PS011862 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallette Drug Company Inc | Past | Accepting new patients | |
| Mallette Drug Company Incorporated | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Andalusia, AL
- NPI 1922177815
-
- Durable Medical Equipment & Medical Supplies
- Andalusia, AL
- NPI 1992839617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316016124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21075 RABREN RD",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364218115",
"telephone_number": "334-222-9646",
"fax_number": "334-222-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 S THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205321",
"telephone_number": "334-222-1141",
"fax_number": "334-222-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JOHN",
"first_name": "JUDY",
"middle_name": "ROWE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "7930",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "PS011862",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS20113",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "7930",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS20113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS011862",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, 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.