Active NPI
Tiana Lynne Samlowski Nelson, PHARMD
- Pharmacist
- Athens, AL
National Provider Identifier
1407333669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20509
- Practice address
- 101 US Highway 31 N
Athens, AL 35611-2142 - Phone
- (256) 230-2799
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- 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 | 20509 | AL | Primary |
Addresses
Primary practice location
101 US Highway 31 N
Athens, AL 35611-2142
Mailing address
101 US Highway 31 N
Athens, AL 35611-2142
Phone (256) 230-2799
Other practice location 1
12010 County Line Rd
Madison, AL 35756
Phone (256) 230-6345
Other practice location 2
14731 Highway 231 431 N Ste A
Hazel Green, AL 35750-8188
Phone (256) 829-6032
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 |
|---|---|---|---|
| 20509 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
101 US Highway 31 N
Athens, AL 35611
Phone (256) 230-2799
14731 Highway 231 431 N
Ste A
Hazel Green, AL 35750
Phone (256) 829-6032
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1407333669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 US HIGHWAY 31 N",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112142",
"telephone_number": "256-230-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 US HIGHWAY 31 N",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112142",
"telephone_number": "256-230-2799"
}
],
"practiceLocations": [
{
"address_1": "12010 County Line Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "35756",
"country_code": "US",
"telephone_number": "256-230-6345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14731 Highway 231 431 N Ste A",
"address_purpose": "LOCATION",
"city": "Hazel Green",
"state": "AL",
"postal_code": "357508188",
"country_code": "US",
"telephone_number": "256-829-6032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "TIANA",
"middle_name": "LYNNE SAMLOWSKI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.