Active NPI
Johnny Hoyt Cleveland, RPH
- Pharmacist
- Locust Fork, AL
National Provider Identifier
1891806105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13351
- Practice address
- 29984 State Highway 79
Locust Fork, AL 35097-5878 - Phone
- (205) 680-2222
- Fax
- (205) 680-2200
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 | 13351 | AL | Primary |
Addresses
Primary practice location
29984 State Highway 79
Locust Fork, AL 35097-5878
Mailing address
PO Box 52
Locust Fork, AL 35097-0052
Phone (205) 680-2222
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13351 | AL | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Locust Fork Pharmacy, LLC | Pharmacist | Current | Accepting new patients |
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.
-
- Pharmacist
- Locust Fork, AL
- NPI 1235240532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891806105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52",
"city": "LOCUST FORK",
"state": "AL",
"postal_code": "350970052",
"telephone_number": "205-680-2222",
"fax_number": "205-680-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29984 STATE HIGHWAY 79",
"city": "LOCUST FORK",
"state": "AL",
"postal_code": "350975878",
"telephone_number": "205-680-2222",
"fax_number": "205-680-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "JOHNNY",
"middle_name": "HOYT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Locust Fork, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.