Active NPI
Ebony Daniels
- Pharmacy Technician
- Birmingham, AL
National Provider Identifier
1790344463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T38737
- Practice address
- 1916 Center Point Pkwy
Birmingham, AL 35215-4512 - Phone
- (205) 520-5535
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T38737 | AL | Primary |
Addresses
Primary practice location
1916 Center Point Pkwy
Birmingham, AL 35215-4512
Mailing address
6408 Telia Dr
Pinson, AL 35126-3153
Phone (205) 200-6489
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 |
|---|---|---|---|
| T38737 | AL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
dba Walmart Pharmacy 10-5100
- Community/Retail Pharmacy
- Center Point, AL
- NPI 1700803012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1790344463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6408 TELIA DR",
"city": "PINSON",
"state": "AL",
"postal_code": "351263153",
"telephone_number": "205-200-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 CENTER POINT PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352154512",
"telephone_number": "205-520-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "EBONY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AL",
"license": "T38737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.