Active NPI
Dedra Rush
- Pharmacist
- Birmingham, AL
National Provider Identifier
1700916111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14636
- Practice address
- 1680 Montgomery Hwy
Birmingham, AL 35216-4906 - Phone
- (205) 979-1427
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14636 | AL | Primary |
Addresses
Primary practice location
1680 Montgomery Hwy
Birmingham, AL 35216-4906
Mailing address
1933 Seattle Slew Dr
Helena, AL 35080-4130
Phone (205) 663-6328
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14636 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700916111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 SEATTLE SLEW DR",
"city": "HELENA",
"state": "AL",
"postal_code": "350804130",
"telephone_number": "205-663-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 MONTGOMERY HWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352164906",
"telephone_number": "205-979-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "DEDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.