Individual provider Active NPI

Lynda H Rush, RPH

  • Pharmacist
  • Moody, AL
National Provider Identifier
1669075099
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11498 Issued in AL
Practice address
1021 Crossroads Plaza Dr
Moody, AL 35004-2615
Phone
(205) 640-1881
Fax
(208) 640-1883
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11498 AL Primary

Addresses

Primary practice location

1021 Crossroads Plaza Dr
Moody, AL 35004-2615

Mailing address

1027 Martin St S
Pell City, AL 35128-2360
Phone (205) 338-6080

Other practice location 1

1027 Martin St S
Pell City, AL 35128-2360
Phone (205) 338-6080

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
11498ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pell City Pharmacy Inc PastSince Nov 22, 2020 Accepting new patients
Parkway Pharmacy of Moody, Inc. PastSince Nov 22, 2020 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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1669075099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282360",
            "telephone_number": "205-338-6080",
            "fax_number": "205-338-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CROSSROADS PLAZA DR",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350042615",
            "telephone_number": "205-640-1881",
            "fax_number": "208-640-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Martin St S",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351282360",
            "country_code": "US",
            "telephone_number": "205-338-6080",
            "fax_number": "205-338-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "LYNDA",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.