Individual provider Active NPI

Angie Vaughan, RPH

  • Pharmacist
  • Altoona, AL
National Provider Identifier
1801937149
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AL 13213 Issued in AL
Practice address
PO Box 611
Altoona, AL 35952-0611
Phone
(205) 466-3666
Fax
(205) 466-5511
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13213 AL
Pharmacist 183500000X AL 13213 AL Primary

Addresses

Primary practice location

PO Box 611
Altoona, AL 35952-0611

Mailing address

335 Chaffin Rd
Horton, AL 35980
Phone (205) 466-3666

Other identifiers 2

IdentifierTypeStateIssuer
100003528MedicaidAL
009942445MedicaidAL

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
13213ALMDPharmacist
AL 13213ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Drug Shoppe, Inc CurrentSince May 18, 2025 Accepting new patients

Locations

87490 US Highway 278
Snead, AL 35952

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1801937149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CHAFFIN RD",
            "city": "HORTON",
            "state": "AL",
            "postal_code": "35980",
            "telephone_number": "205-466-3666",
            "fax_number": "205-466-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "ALTOONA",
            "state": "AL",
            "postal_code": "359520611",
            "telephone_number": "205-466-3666",
            "fax_number": "205-466-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "ANGIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13213",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "AL 13213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003528",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942445",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.