Active NPI
George Mitchell Poole, RPH
- Pharmacist
- Northport, AL
National Provider Identifier
1811286313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11216
- Practice address
- 2300 McFarland Blvd
Suite 5
Northport, AL 35476-2927 - Phone
- (205) 339-2700
- Fax
- (205) 330-0920
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- 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 | 11216 | AL | Primary |
| Pharmacist | 183500000X | E07653 | MS |
Addresses
Primary practice location
2300 McFarland Blvd
Suite 5
Northport, AL 35476-2927
Mailing address
6228 Eastbrook Dr
Tuscaloosa, AL 35405-5668
Phone (205) 553-9220
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 |
|---|---|---|---|
| 11216 | AL | MD | Pharmacist |
| E07653 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1811286313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6228 EASTBROOK DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354055668",
"telephone_number": "205-553-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MCFARLAND BLVD",
"address_2": "SUITE 5",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354762927",
"telephone_number": "205-339-2700",
"fax_number": "205-330-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "GEORGE",
"middle_name": "MITCHELL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11216",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E07653",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.