Active NPI
Page Dunlap, PHARM.D.
- Pharmacist
- Cullman, AL
National Provider Identifier
1902815772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12156
- Practice address
- 1700 2ND Ave SW
Cullman, AL 35055-5337 - Phone
- (256) 734-7188
- Fax
- (256) 734-7138
- NPI assigned
- Aug 7, 2006
- Last updated
- Aug 12, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 115530-7 | MN | |
| Pharmacist | 183500000X | 12156 | AL | Primary |
Addresses
Primary practice location
1700 2ND Ave SW
Cullman, AL 35055-5337
Mailing address
3020 Aztec Dr SE
Decatur, AL 35603-5242
Phone (205) 862-7243
Other practice location 1
302 Pine St NW
Hartselle, AL 35640-2316
Phone (256) 773-5421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115530-7 | Other | MN | PHARMACY STATE LICENSE |
| 12156 | Other | AL | PHARMACY STATE LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12156 | AL | MD | Pharmacist |
| 115530-7 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Dunlap Drug Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1700 2nd Ave SW
Cullman, AL 35055
Phone (256) 734-7188
Organizations & group practices 3
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.
-
dba Fowler Pharmacy
- Durable Medical Equipment & Medical Supplies
- Hartselle, AL
- NPI 1023026168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1902815772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 AZTEC DR SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356035242",
"telephone_number": "205-862-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 2ND AVE SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555337",
"telephone_number": "256-734-7188",
"fax_number": "256-734-7138"
}
],
"practiceLocations": [
{
"address_1": "302 Pine St NW",
"address_purpose": "LOCATION",
"city": "Hartselle",
"state": "AL",
"postal_code": "356402316",
"country_code": "US",
"telephone_number": "256-773-5421",
"fax_number": "256-773-5464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNLAP",
"first_name": "PAGE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115530-7",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "115530-7",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "12156",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.