Christine L Cleveland, PHARM.D.
Individual provider Active NPI Pharmacist · Red Bay, AL
NPI 1689983009 · NPPES record last updated Oct 4, 2010
Key facts
- NPI
- 1689983009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15028 (AL)
- Practice address
- 525 4TH Avenue SE
Red Bay, AL 35582 - Phone
- (256) 356-4540
- Fax
- (256) 356-4715
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15028 | AL | MD | Pharmacist |
| E09924 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15028 | AL | Yes |
| Pharmacist | 183500000X | E09924 | MS |
Addresses
Primary practice location
525 4TH Avenue SE
Red Bay, AL 35582
Mailing address
180 County Road 14
Belmont, MS 38827-8745
Phone (662) 279-9161
Other providers in Red Bay, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2010. 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.