Mark Dennis Babb

Primary specialty

PharmacistTaxonomy code 183500000X

License

11129 Issued in AL

Practice address

536 Hudson Dr
Gordo, AL 35466-2431

Phone

(205) 364-7133

Fax

(205) 364-6123

NPI assigned

Nov 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gordo, AL
  • NPI 1649339797
  NPD
• Alabama CVS Pharmacy LLC

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1659975720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 HUDSON DR",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354662431",
            "telephone_number": "205-364-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 HUDSON DR",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354662431",
            "telephone_number": "205-364-7133",
            "fax_number": "205-364-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABB",
        "first_name": "MARK",
        "middle_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabama CVS Pharmacy, L.L.C.
• John E Brandon, M.D.
• Robert G Carden
• Encore Rehabilitation, Inc.
• Timothy Luke Hagler, DMD
• Mentral Ledbetter, LPC

• All providers in Gordo, AL
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.