Active NPI
Arthur Boyd Ennis Jr., PHARMD
- Pharmacist
- Morris, AL
National Provider Identifier
1386735967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13877
- Practice address
- 585 Morris Majestic Rd
Morris, AL 35116-1246 - Phone
- (205) 647-0515
- Fax
- (205) 647-5666
- NPI assigned
- Sep 27, 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 | 13877 | AL | Primary |
Addresses
Primary practice location
585 Morris Majestic Rd
Morris, AL 35116-1246
Mailing address
585 Morris Majestic Rd
Morris, AL 35116-1246
Phone (205) 647-0515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13877 | Other | AL | STATE PHARMACY 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13877 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1386735967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 MORRIS MAJESTIC RD",
"city": "MORRIS",
"state": "AL",
"postal_code": "351161246",
"telephone_number": "205-647-0515",
"fax_number": "205-647-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 MORRIS MAJESTIC RD",
"city": "MORRIS",
"state": "AL",
"postal_code": "351161246",
"telephone_number": "205-647-0515",
"fax_number": "205-647-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "ARTHUR",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "13877",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morris, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.