Active NPI
Saeun Carrie
- Pharmacist
- Montgomery, AL
National Provider Identifier
1841817640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S12563
- Practice address
- 7700 Vaughn Rd
Montgomery, AL 36116-1337 - Phone
- (334) 290-4920
- NPI assigned
- Jun 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S12563 | AL | |
| Pharmacist | 183500000X | S12563 | AL | Primary |
Addresses
Primary practice location
7700 Vaughn Rd
Montgomery, AL 36116-1337
Mailing address
1832 Ashville Rd
Leeds, AL 35094-7508
Phone (205) 702-4783
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 |
|---|---|---|---|
| S12563 | AL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
1832 Ashville Rd
Leeds, AL 35094
Phone (205) 702-4783
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1841817640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 ASHVILLE RD",
"city": "LEEDS",
"state": "AL",
"postal_code": "350947508",
"telephone_number": "205-702-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 VAUGHN RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161337",
"telephone_number": "334-290-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIE",
"first_name": "SAEUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S12563",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "S12563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.