Individual provider Active NPI

Jason Edwin Murph, RPH

  • Pharmacist
  • Ardmore, AL
National Provider Identifier
1720134174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12801 Issued in AL
Practice address
29930 Ardmore Ave
Ardmore, AL 35739-7450
Phone
(256) 423-8989
Fax
(256) 423-8990
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12801 AL Primary

Addresses

Primary practice location

29930 Ardmore Ave
Ardmore, AL 35739-7450

Mailing address

29930 Ardmore Ave
Ardmore, AL 35739-7450
Phone (256) 423-8989

Other identifiers 1

IdentifierTypeStateIssuer
12801OtherALCONTROLLED SUB REG #

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
12801ALMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720134174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29930 ARDMORE AVE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397450",
            "telephone_number": "256-423-8989",
            "fax_number": "256-423-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29930 ARDMORE AVE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397450",
            "telephone_number": "256-423-8989",
            "fax_number": "256-423-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPH",
        "first_name": "JASON",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUB REG #",
            "identifier": "12801",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, 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.

Verify at the official NPI Registry.