NPIMap

Individual provider Active NPI

Rebecca Teal

  • Pharmacist
  • Birmingham, AL
National Provider Identifier
1508419649
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21023 Issued in AL
Practice address
3040 Healthy Way
Birmingham, AL 35243-2331
Phone
(205) 970-7505
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21023 AL Primary

Addresses

Primary practice location

3040 Healthy Way
Birmingham, AL 35243-2331

Mailing address

401 Whittier Dr
Birmingham, AL 35213-2034

Other practice location 1

784 Montgomery Hwy
Vestavia Hills, AL 35216-1800
Phone (205) 824-6005

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

LicenseStateTypeSpecialty
21023ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Alabama LLC CurrentSince Jan 5, 2020 Accepting new patients
Publix Alabama, LLC PastSince Jul 25, 2019 Accepting new patients

Locations

3040 Healthy Way
Vestavia, AL 35243
Phone (205) 970-7505

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.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1508419649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WHITTIER DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352132034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 HEALTHY WAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432331",
            "telephone_number": "205-970-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161800",
            "country_code": "US",
            "telephone_number": "205-824-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.