Active NPI
Jimmy Derrell Massey
- Pharmacist
- Section, AL
National Provider Identifier
1346201142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10177
- Practice address
- 5337 Tammy Little Dr
Section, AL 35771-7206 - Phone
- (256) 228-7179
- NPI assigned
- Mar 31, 2006
- 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 | 10177 | AL | Primary |
Addresses
Primary practice location
5337 Tammy Little Dr
Section, AL 35771-7206
Mailing address
PO Box 29
Section, AL 35771-0029
Phone (256) 228-6443
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 |
|---|---|---|---|
| 10177 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346201142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "SECTION",
"state": "AL",
"postal_code": "357710029",
"telephone_number": "256-228-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5337 TAMMY LITTLE DR",
"city": "SECTION",
"state": "AL",
"postal_code": "357717206",
"telephone_number": "256-228-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "JIMMY",
"middle_name": "DERRELL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Section, 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.