Active NPI
Terri White Madry, PHARMACIST
- Pharmacist
- Huntsville, AL
National Provider Identifier
1861004475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13458
- Practice address
- 2100 Brandon St SW
Huntsville, AL 35801-4503 - Phone
- (256) 512-0957
- Fax
- (256) 512-5578
- NPI assigned
- Aug 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13458 | AL | Primary |
Addresses
Primary practice location
2100 Brandon St SW
Huntsville, AL 35801-4503
Mailing address
2100 Brandon St SW
Huntsville, AL 35801-4503
Phone (256) 512-0957
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.06430@store.walgreens.com | Direct |
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 |
|---|---|---|---|
| 13458 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Huntsville, AL
- NPI 1700891066
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1861004475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 BRANDON ST SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014503",
"telephone_number": "256-512-0957",
"fax_number": "256-512-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BRANDON ST SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014503",
"telephone_number": "256-512-0957",
"fax_number": "256-512-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRY",
"first_name": "TERRI",
"middle_name": "WHITE",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13458",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.06430@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "walgreens secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "walgreens",
"address_1": "2100 Brandon St SW",
"city": "Huntsville",
"state": "AL",
"country_code": "US",
"postal_code": "358014503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.