Individual provider Active NPI

Mark Thompson Conradi, R.PH.

  • Pharmacist
  • Maplesville, AL
National Provider Identifier
1649578584
Registry record updated Oct 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7706 Issued in AL
Practice address
9081 Al Highway 22
Maplesville, AL 36750-3221
Phone
(334) 366-2425
Fax
(334) 366-2456
NPI assigned
Mar 1, 2011
Last updated
Oct 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7706 AL Primary

Addresses

Primary practice location

9081 Al Highway 22
Maplesville, AL 36750-3221

Mailing address

PO Box 145
Maplesville, AL 36750-0145
Phone (334) 366-2425

Other practice location 1

155 Birmingham Rd
Suite 114
Centreville, AL 35042-2984
Phone (205) 926-3654

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

LicenseStateTypeSpecialty
7706ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Drug Co Inc PastSince Oct 20, 2019 Accepting new patients
Brown Drug Co, Inc. PastSince Oct 27, 2019 Accepting new patients

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1649578584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "MAPLESVILLE",
            "state": "AL",
            "postal_code": "367500145",
            "telephone_number": "334-366-2425",
            "fax_number": "334-366-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 AL HIGHWAY 22",
            "city": "MAPLESVILLE",
            "state": "AL",
            "postal_code": "367503221",
            "telephone_number": "334-366-2425",
            "fax_number": "334-366-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Birmingham Rd",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "AL",
            "postal_code": "350422984",
            "country_code": "US",
            "telephone_number": "205-926-3654",
            "fax_number": "205-926-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRADI",
        "first_name": "MARK",
        "middle_name": "THOMPSON",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplesville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.