Individual provider Active NPI

Jennifer Willis, PHARMD

  • Pharmacist
  • Hoover, AL
National Provider Identifier
1841815453
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15548 Issued in AL
Practice address
2400 Mountain Dr Ste 104
Hoover, AL 35226-1569
Phone
(205) 871-9007
Fax
(205) 874-9946
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15548 AL Primary

Addresses

Primary practice location

2400 Mountain Dr Ste 104
Hoover, AL 35226-1569

Mailing address

2400 Mountain Dr Ste 104
Hoover, AL 35226-1569
Phone (205) 871-9007

Other names 1

  • Mary Jennifer Snell Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15548ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Specialty Pharmacy, LLC Current Accepting new patients
Mills Specialty Pharmacy LLC Current Accepting new patients

Locations

2400 Mountain Dr
Ste 104
Hoover, AL 35226
Phone (205) 871-9007

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1841815453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOUNTAIN DR STE 104",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261569",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MOUNTAIN DR STE 104",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261569",
            "telephone_number": "205-871-9007",
            "fax_number": "205-874-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SNELL",
            "middle_name": "JENNIFER",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.

Verify at the official NPI Registry.