Active NPI
Angie Vaughan, RPH
- Pharmacist
- Altoona, AL
National Provider Identifier
1801937149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AL 13213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003528 | Medicaid | AL | |
| 009942445 | Medicaid | AL |
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 |
|---|---|---|---|
| 13213 | AL | MD | Pharmacist |
| AL 13213 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klein Drug Shoppe, Inc | Current | 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.
-
- Community/Retail Pharmacy
- Altoona, AL
- NPI 1881812857
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.