Active NPI
Jason Robert Hodges, R.PH.
- Pharmacist
- Mobile, AL
National Provider Identifier
1639216609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12448
- Practice address
- 676 University Blvd S
Mobile, AL 36609-7866 - Phone
- (800) 486-8792
- Fax
- (800) 486-8078
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- 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 | 12448 | AL | Primary |
Addresses
Primary practice location
676 University Blvd S
Mobile, AL 36609-7866
Mailing address
204 Grants Way
Fairhope, AL 36532-4477
Phone (251) 377-5303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12448 | Other | AL | AL PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 12448 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1639216609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 GRANTS WAY",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365324477",
"telephone_number": "251-377-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 UNIVERSITY BLVD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366097866",
"telephone_number": "800-486-8792",
"fax_number": "800-486-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "JASON",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL PHARMACIST LICENSE",
"identifier": "12448",
"state": "AL"
}
],
"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 Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.