Active NPI
Donald Ray Ezell, RPH
- Pharmacist
- Florence, AL
National Provider Identifier
1811295330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10302
- Practice address
- 2403 Florence Blvd
Florence, AL 35630-2877 - Phone
- (256) 766-7450
- NPI assigned
- Mar 8, 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 | 10302 | AL | Primary |
| Pharmacist | 183500000X | 8720 | TN |
Addresses
Primary practice location
2403 Florence Blvd
Florence, AL 35630-2877
Mailing address
5320 Highway 17
Florence, AL 35634-9006
Phone (256) 760-9548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10302 | Other | AL | PHARMACY LICENSE |
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 |
|---|---|---|---|
| 10302 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1811295330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 HIGHWAY 17",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356349006",
"telephone_number": "256-760-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 FLORENCE BLVD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356302877",
"telephone_number": "256-766-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "DONALD",
"middle_name": "RAY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10302",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8720",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "10302",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.