Active NPI
Allie Patterson
- Pharmacist
- Jasper, AL
National Provider Identifier
1821692401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21406
- Practice address
- 1801 Highway 18 E
Jasper, AL 35501 - Phone
- (205) 384-1100
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21406 | AL | Primary |
Addresses
Primary practice location
1801 Highway 18 E
Jasper, AL 35501
Mailing address
2217 Lakeview LN SW
Fayette, AL 35555-3400
Other practice location 1
1716 Temple Ave N
Fayette, AL 35555-1309
Phone (205) 932-7455
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 |
|---|---|---|---|
| 21406 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1821692401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 LAKEVIEW LN SW",
"city": "FAYETTE",
"state": "AL",
"postal_code": "355553400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HIGHWAY 18 E",
"city": "JASPER",
"state": "AL",
"postal_code": "35501",
"telephone_number": "205-384-1100"
}
],
"practiceLocations": [
{
"address_1": "1716 Temple Ave N",
"address_purpose": "LOCATION",
"city": "Fayette",
"state": "AL",
"postal_code": "355551309",
"country_code": "US",
"telephone_number": "205-932-7455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "ALLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.