Individual provider Active NPI

Nikki Brown-Short, PHARMD

  • Pharmacist
  • Mobile, AL
National Provider Identifier
1437445806
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14298 Issued in AL
Practice address
3150 Bel Air Mall
T-0797
Mobile, AL 36606-3206
Phone
(251) 471-9768
Fax
(251) 471-9776
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14298 AL Primary

Addresses

Primary practice location

3150 Bel Air Mall
T-0797
Mobile, AL 36606-3206

Mailing address

3150 Bel Air Mall
T-0797
Mobile, AL 36606-3206
Phone (251) 471-9768

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

LicenseStateTypeSpecialty
14298ALMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1437445806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 BEL AIR MALL",
            "address_2": "T-0797",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063206",
            "telephone_number": "251-471-9768",
            "fax_number": "251-471-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 BEL AIR MALL",
            "address_2": "T-0797",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063206",
            "telephone_number": "251-471-9768",
            "fax_number": "251-471-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-SHORT",
        "first_name": "NIKKI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.