Active NPI
Diane Smith
- Pharmacist
- Montgomery, AL
National Provider Identifier
1871757336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AL
- Practice address
- 55 Ray Thorington Rd
Montgomery, AL 36117-8935 - Phone
- (334) 215-4281
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 17, 2012
- 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 | AL | AL | Primary |
Addresses
Primary practice location
55 Ray Thorington Rd
Montgomery, AL 36117-8935
Mailing address
55 Ray
Montgomery, AL 36116-8806
Phone (334) 220-2411
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 |
|---|---|---|---|
| AL | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Alabama CVS Pharmacy LLC | 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, 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": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1871757336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 RAY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361168806",
"telephone_number": "334-220-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 RAY THORINGTON RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178935",
"telephone_number": "334-215-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIANE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "AL",
"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 Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.