Active NPI
Mary Alice Combs, RPH
- Pharmacist
- St James City, FL
National Provider Identifier
1740883065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57519
- Practice address
- 9852 Stringfellow Rd
St James City, FL 33956-3109 - Phone
- (239) 283-1037
- Fax
- (239) 283-1040
- NPI assigned
- Nov 19, 2020
- 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 | 57519 | FL | Primary |
Addresses
Primary practice location
9852 Stringfellow Rd
St James City, FL 33956-3109
Mailing address
9852 Stringfellow Rd
St James City, FL 33956-3109
Phone (239) 283-1037
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57519 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1740883065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9852 STRINGFELLOW RD",
"city": "ST JAMES CITY",
"state": "FL",
"postal_code": "339563109",
"telephone_number": "239-283-1037",
"fax_number": "239-283-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9852 STRINGFELLOW RD",
"city": "ST JAMES CITY",
"state": "FL",
"postal_code": "339563109",
"telephone_number": "239-283-1037",
"fax_number": "239-283-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "MARY ALICE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "57519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St James City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.