Individual provider Active NPI

Ashley Burt

  • Pharmacist
  • Spanish Fort, AL
National Provider Identifier
1992136014
Registry record updated Nov 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17441 Issued in AL
Practice address
10179 Eastern Shore Blvd
Spanish Fort, AL 36527-5801
Phone
(251) 621-9771
Fax
(251) 621-9987
NPI assigned
Nov 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17441 AL Primary

Addresses

Primary practice location

10179 Eastern Shore Blvd
Spanish Fort, AL 36527-5801

Mailing address

10179 Eastern Shore Blvd
Spanish Fort, AL 36527-5801
Phone (251) 621-9771

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

LicenseStateTypeSpecialty
17441ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Pharmacist Past Accepting new patients
Publix Alabama LLC Past Accepting new patients

Organizations & group practices 2

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": "1385769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385769600000",
    "number": "1992136014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10179 EASTERN SHORE BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275801",
            "telephone_number": "251-621-9771",
            "fax_number": "251-621-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10179 EASTERN SHORE BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275801",
            "telephone_number": "251-621-9771",
            "fax_number": "251-621-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-30",
        "last_updated": "2013-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.