Active NPI
Richard Wayne McClanahan Jr.
- Pharmacist
- Prattville, AL
National Provider Identifier
1710244934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16750
- Practice address
- 606 S Memorial Dr
Prattville, AL 36067-3635 - Phone
- (334) 365-1600
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 16750 | AL | Primary |
Addresses
Primary practice location
606 S Memorial Dr
Prattville, AL 36067-3635
Mailing address
606 S Memorial Dr
Prattville, AL 36067-3635
Phone (334) 365-1600
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 |
|---|---|---|---|
| 16750 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1710244934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 S MEMORIAL DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360673635",
"telephone_number": "334-365-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S MEMORIAL DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360673635",
"telephone_number": "334-365-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLANAHAN",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.