Active NPI
Jonathan David Courtney
- Pharmacist
- Dothan, AL
National Provider Identifier
1366980658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19650
- Practice address
- 3525 Ross Clark Cir Ste 100
Dothan, AL 36303-5935 - Phone
- (334) 792-4812
- NPI assigned
- Feb 7, 2017
- 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 | 19650 | AL | Primary |
Addresses
Primary practice location
3525 Ross Clark Cir Ste 100
Dothan, AL 36303-5935
Mailing address
4980 Flowers Chapel Rd Apt S135
Dothan, AL 36305-5321
Phone (850) 371-3555
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 |
|---|---|---|---|
| 19650 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix Alabama, LLC | 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
- Dothan, AL
- NPI 1063704690
-
- Community/Retail Pharmacy
- Foley, AL
- NPI 1326856592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1366980658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 FLOWERS CHAPEL RD APT S135",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363055321",
"telephone_number": "850-371-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ROSS CLARK CIR STE 100",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363035935",
"telephone_number": "334-792-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.