Individual provider Active NPI

Laura Ashley Fornes

  • Pharmacist
  • Fairhope, AL
National Provider Identifier
1518603877
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17578 Issued in AL
Practice address
2 Greeno Rd S
Fairhope, AL 36532-2048
Phone
(251) 928-6558
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17578 AL Primary

Addresses

Primary practice location

2 Greeno Rd S
Fairhope, AL 36532-2048

Mailing address

245 Royal LN
Fairhope, AL 36532-4223
Phone (251) 423-5952

Other identifiers 1

IdentifierTypeStateIssuer
17578MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pharmacy

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
17578ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreens Current Accepting new patients

Locations

2 Greeno Rd S
Fairhope, AL 36532
Phone (251) 423-5952

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1518603877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROYAL LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324223",
            "telephone_number": "251-423-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322048",
            "telephone_number": "251-928-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNES",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17578",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "address_1": "2 Greeno Rd S",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365322048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.