Jabari Harvey Antone, RPH.
Individual provider Active NPI Pharmacist · Saraland, AL
NPI 1659989259 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1659989259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21449 (AL)
- Practice address
- 12 Shelton Beach Rd
Saraland, AL 36571-2403 - Phone
- (251) 675-1091
- NPI assigned
- Jul 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21449 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21449 | AL | Yes |
Addresses
Primary practice location
12 Shelton Beach Rd
Saraland, AL 36571-2403
Mailing address
9688 Concord PL
Mobile, AL 36695-7468
Phone (251) 490-1288
Other providers in Saraland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.