Active NPI
Joe Homer Hamdorff
- Pharmacist
- Foley, AL
National Provider Identifier
1891087813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13803
- Practice address
- 1255 S McKenzie St
Foley, AL 36535-1818 - Phone
- (251) 971-1017
- NPI assigned
- May 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 13803 | AL | Primary |
Addresses
Primary practice location
1255 S McKenzie St
Foley, AL 36535-1818
Mailing address
1255 S McKenzie St
Foley, AL 36535-1818
Phone (251) 971-1017
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 |
|---|---|---|---|
| 13803 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1891087813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365351818",
"telephone_number": "251-971-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365351818",
"telephone_number": "251-971-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMDORFF",
"first_name": "JOE",
"middle_name": "HOMER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.