Active NPI
Derek Jerome Colston, PHARM D.
- Pharmacist
- Mobile, AL
National Provider Identifier
1730339938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13891
- Practice address
- 1971 Government St
Mobile, AL 36606-1628 - Phone
- (251) 479-9439
- NPI assigned
- Sep 24, 2008
- Last updated
- Sep 24, 2008
- 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 | 13891 | AL | Primary |
Addresses
Primary practice location
1971 Government St
Mobile, AL 36606-1628
Mailing address
1662 Longwood Rd.
Mobile, AL 36609
Phone (251) 414-9908
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1730339938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 LONGWOOD RD.",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609",
"telephone_number": "251-414-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 GOVERNMENT ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061628",
"telephone_number": "251-479-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLSTON",
"first_name": "DEREK",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.