Tobey Wayne Humphries, PHARM.D.

Individual provider Active NPI Pharmacist · Florence, AL

NPI 1760086458 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1760086458
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
16499 (AL)
Practice address
1501 Florence Blvd
Florence, AL 35630-2761
Phone
(256) 767-0520
Fax
(256) 764-8942
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy LLC Past
since Nov 29, 2020
Accepting new patients
Alabama CVS Pharmacy, L.L.C. Past
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16499 AL Yes

Addresses

Primary practice location

1501 Florence Blvd
Florence, AL 35630-2761

Mailing address

1501 Florence Blvd
Florence, AL 35630-2761
Phone (256) 767-0520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2020.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1760086458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302761",
            "telephone_number": "256-767-0520",
            "fax_number": "256-764-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302761",
            "telephone_number": "256-767-0520",
            "fax_number": "256-764-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "TOBEY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

All providers in Florence, AL · Pharmacist in Alabama

Sources for this page

Verify at the official NPI Registry.