Active NPI
Maya Alana Rudolph
- Pharmacist
- Selma, AL
National Provider Identifier
1831787654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21715
- Practice address
- 1501 Al-14 E
Selma, AL 36703 - Phone
- (334) 874-7793
- NPI assigned
- Jan 7, 2021
- Last updated
- Jan 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21715 | AL | Primary |
Addresses
Primary practice location
1501 Al-14 E
Selma, AL 36703
Mailing address
614 Green St
Selma, AL 36703-3823
Phone (334) 267-1342
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 |
|---|---|---|---|
| 21715 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1831787654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 GREEN ST",
"city": "SELMA",
"state": "AL",
"postal_code": "367033823",
"telephone_number": "334-267-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 AL-14 E",
"city": "SELMA",
"state": "AL",
"postal_code": "36703",
"telephone_number": "334-874-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "MAYA",
"middle_name": "ALANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
- Jada Rhymes, MD
- Johnae La'Essieca Riley
- Brady Bostick Rives, AU.D.
- Barry Douglas Roper, PHARMD
- Eric M. Roussell Sr., R.PH.
- Rural Health Medical Program, Inc (RHMPI Selma Medical Mobile Clinic)
- Rural Health Medical Program, Inc (RHMPI Selma Mobile Unit Health Center)
- Rural Health Medical Program, Inc
- Rural Health Medical Program, Inc (RHMPI - Selma Health Center and Administrative Office)
- Rural Health Medical Program, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.