Individual provider Active NPI

Jonathan Kyle Parker, PHARMD

  • Pharmacist
  • Birmingham, AL
National Provider Identifier
1962226225
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23786 Issued in AL
Practice address
312 Palisades Blvd
Birmingham, AL 35209-5148
Phone
(205) 520-5535
NPI assigned
Nov 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23786 AL Primary

Addresses

Primary practice location

312 Palisades Blvd
Birmingham, AL 35209-5148

Mailing address

103 Deveron CT
Madison, AL 35758-6232
Phone (256) 682-9406

Other practice location 1

1189 Allbritton Rd
Warrior, AL 35180-2663
Phone (205) 946-4580

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

LicenseStateTypeSpecialty
23786ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Nov 17, 2024 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1962226225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DEVERON CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586232",
            "telephone_number": "256-682-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PALISADES BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095148",
            "telephone_number": "205-520-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1189 Allbritton Rd",
            "address_purpose": "LOCATION",
            "city": "Warrior",
            "state": "AL",
            "postal_code": "351802663",
            "country_code": "US",
            "telephone_number": "205-946-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JONATHAN",
        "middle_name": "KYLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "23786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.