Active NPI
James Leon Colvin Jr., R.PH.
- Pharmacist
- Jacksonville, AL
National Provider Identifier
1992764302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12128
- Practice address
- 1430 Pelham Rd S
Jacksonville, AL 36265-3034 - Phone
- (256) 435-7931
- Fax
- (256) 435-9007
- NPI assigned
- Mar 23, 2006
- Last updated
- Jun 14, 2024
- 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 | 12128 | AL | Primary |
Addresses
Primary practice location
1430 Pelham Rd S
Jacksonville, AL 36265-3034
Mailing address
1430 Pelham Rd S
Jacksonville, AL 36265-3034
Phone (256) 435-7931
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12128 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crow Drug Inc | Current | Accepting new patients |
Locations
1430 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-7931
7 Public Sq E
Jacksonville, AL 36265
Phone (256) 435-7931
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1992764302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 PELHAM RD S",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653034",
"telephone_number": "256-435-7931",
"fax_number": "256-435-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 PELHAM RD S",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653034",
"telephone_number": "256-435-7931",
"fax_number": "256-435-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "JAMES",
"middle_name": "LEON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.