Active NPI
Johnny Rudolph Nobles III, PHARM. D.
- Pharmacist
- Montgomery, AL
National Provider Identifier
1992111876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17754
- Practice address
- 10 W Fairview Ave
Montgomery, AL 36105-1655 - Phone
- (334) 265-3336
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 17754 | AL | Primary |
Addresses
Primary practice location
10 W Fairview Ave
Montgomery, AL 36105-1655
Mailing address
449 N Donahue Dr Apt D27
Auburn, AL 36832-4802
Phone (334) 734-3866
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 |
|---|---|---|---|
| 17754 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1992111876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 N DONAHUE DR APT D27",
"city": "AUBURN",
"state": "AL",
"postal_code": "368324802",
"telephone_number": "334-734-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W FAIRVIEW AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361051655",
"telephone_number": "334-265-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "JOHNNY",
"middle_name": "RUDOLPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.