Active NPI
Bethlehem Ali
- Pharmacist
- Albany, GA
National Provider Identifier
1992464408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033083
- Practice address
- 108 S Westover Blvd
Albany, GA 31707-0604 - Phone
- (229) 405-6805
- NPI assigned
- Dec 12, 2021
- 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 | RPH033083 | GA | Primary |
Addresses
Primary practice location
108 S Westover Blvd
Albany, GA 31707-0604
Mailing address
3205 Mineral Ridge CT
Stone Mountain, GA 30087-4278
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 |
|---|---|---|---|
| RPH033083 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
- Community/Retail Pharmacy
- Albany, GA
- NPI 1568861953
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639267200000",
"number": "1992464408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 MINERAL RIDGE CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317070604",
"telephone_number": "229-405-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "BETHLEHEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-12",
"last_updated": "2021-12-12",
"certification_date": "2021-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.