Active NPI
Alexandria Stanley
- Pharmacist
- Humboldt, TN
National Provider Identifier
1912652579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45725
- Practice address
- 2401 N Central Ave
Humboldt, TN 38343-1753 - Phone
- (731) 784-2613
- NPI assigned
- Feb 12, 2022
- Last updated
- Feb 12, 2022
- Sex
- Female
- 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 | 45725 | TN | Primary |
Addresses
Primary practice location
2401 N Central Ave
Humboldt, TN 38343-1753
Mailing address
146 Union Ave
Jackson, TN 38301-6102
Phone (731) 413-0559
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 |
|---|---|---|---|
| 45725 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1912652579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 UNION AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383016102",
"telephone_number": "731-413-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N CENTRAL AVE",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383431753",
"telephone_number": "731-784-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "ALEXANDRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.