Active NPI
Charles Louis Dart Sr.
- Pharmacist
- Mobile, AL
National Provider Identifier
1619280831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6272
- Practice address
- 5440 Highway 90 W Ste a
Mobile, AL 36619-4226 - Phone
- (251) 660-6841
- NPI assigned
- Jul 16, 2010
- 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 | 6272 | AL | Primary |
Addresses
Primary practice location
5440 Highway 90 W Ste a
Mobile, AL 36619-4226
Mailing address
5295 Dog River LN
Theodore, AL 36582-2541
Phone (251) 443-6819
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 |
|---|---|---|---|
| 6272 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1619280831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5295 DOG RIVER LN",
"city": "THEODORE",
"state": "AL",
"postal_code": "365822541",
"telephone_number": "251-443-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 HIGHWAY 90 W STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366194226",
"telephone_number": "251-660-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DART",
"first_name": "CHARLES",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.