Active NPI
Carl Douglas McKay Jr., PHARMD
- Pharmacist
- Daphne, AL
National Provider Identifier
1366036089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17373
- Practice address
- 9052 Independence Ave
Daphne, AL 36526-5613 - Phone
- (251) 625-6944
- NPI assigned
- Feb 23, 2021
- 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 | 17373 | AL | Primary |
Addresses
Primary practice location
9052 Independence Ave
Daphne, AL 36526-5613
Mailing address
11807 Jericho Dr
Daphne, AL 36526-9287
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 |
|---|---|---|---|
| 17373 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | Accepting new patients | |
| Pharmacy Corporation of America | 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.
-
- Long Term Care Pharmacy
- Daphne, AL
- NPI 1497788061
-
- Long Term Care Pharmacy
- Milwaukee, WI
- NPI 1124665336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1366036089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11807 JERICHO DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9052 INDEPENDENCE AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265613",
"telephone_number": "251-625-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "CARL",
"middle_name": "DOUGLAS",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.