Active NPI
Richard Segraves, PHARMD, BCACP
- Pharmacist
- Huntsville, AL
National Provider Identifier
1609470111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17356
- Practice address
- 2525 Oakwood Ave NW
Huntsville, AL 35810-4410 - Phone
- (256) 533-5754
- NPI assigned
- Nov 24, 2020
- Last updated
- Nov 24, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17356 | AL | Primary |
Addresses
Primary practice location
2525 Oakwood Ave NW
Huntsville, AL 35810-4410
Mailing address
2525 Oakwood Ave NW
Huntsville, AL 35810-4410
Phone (256) 533-5754
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17356 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Locations
2525 Oakwood Ave NW
Huntsville, AL 35810
Phone (256) 513-5013
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, 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": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1609470111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 OAKWOOD AVE NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358104410",
"telephone_number": "256-533-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 OAKWOOD AVE NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358104410",
"telephone_number": "256-533-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGRAVES",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARMD, BCACP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.