Active NPI
Laura Ashley Fornes
- Pharmacist
- Fairhope, AL
National Provider Identifier
1518603877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17578
- Practice address
- 2 Greeno Rd S
Fairhope, AL 36532-2048 - Phone
- (251) 928-6558
- NPI assigned
- May 10, 2022
- Last updated
- May 10, 2022
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17578 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17578 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Fairhope, AL
- NPI 1235743337
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
- Lyndsey G Folse
- Daniel Forrest Fontenot, DMD
- David L Fore, M.D.
- Forefront Dermatology, S.C. (Haley Dermatology, A Forefront Dermatology Practice)
- Amber Hope Foreman, PSYD
- Wanda Gail Fox Pierre, MS
- Maryann Frankenberg, M.S.
- Rachael Vogel Franklin, PA-C
- France Frederick, PH.D.
- Andrew Glenn Freeman, MD
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.