Active NPI
Walter Thomas Dameron, RPH
- Pharmacy
- Birmingham, AL
National Provider Identifier
1538313689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 6650
- Practice address
- 217 Lucerne Blvd
Birmingham, AL 35209-6613 - Phone
- (205) 879-2759
- NPI assigned
- Nov 14, 2008
- Last updated
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 6650 | AL | Primary |
Addresses
Primary practice location
217 Lucerne Blvd
Birmingham, AL 35209-6613
Mailing address
217 Lucerne Blvd
Birmingham, AL 35209-6613
Phone (205) 879-2759
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6650 | AL | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1538313689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 LUCERNE BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096613",
"telephone_number": "205-879-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 LUCERNE BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096613",
"telephone_number": "205-879-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "WALTER",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "6650",
"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 Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.