Active NPI
John Tyler Rinker
- Pharmacist
- Montgomery, AL
National Provider Identifier
1366837072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19344
- Practice address
- 10472 Duncannon TRL
Montgomery, AL 36117-1201 - Phone
- (407) 256-2723
- Fax
- (407) 256-2723
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S10807 | AL | |
| Pharmacist | 183500000X | 19344 | AL | Primary |
Addresses
Primary practice location
10472 Duncannon TRL
Montgomery, AL 36117-1201
Mailing address
10472 Duncannon TRL
Montgomery, AL 36117-1201
Phone (407) 256-2723
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 |
|---|---|---|---|
| 19344 | AL | MD | Pharmacist |
| S10807 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366837072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10472 DUNCANNON TRL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361171201",
"telephone_number": "407-256-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10472 DUNCANNON TRL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361171201",
"telephone_number": "407-256-2723",
"fax_number": "407-256-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINKER",
"first_name": "JOHN",
"middle_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S10807",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AL",
"license": "19344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.