MR. RICKY BEARDEN (NPI# 1053444562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053444562 |
Entity Type | Individual |
Full Name | MR. RICKY BEARDEN |
Credential | R.PH. |
Practice Address |
1433 3rd St Sw Attalla AL 35954-1132 |
Mailing Address |
406 Shane Ln Rainbow City AL 35906-6534 |
Practice Telephone | 2565385850 |
Practice Fax Number | 2565381860 |
Mailing Telephone | 2565385850 |
Mailing Fax Number | 2565381860 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2016-06-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 7354 | AL | Pharmacy Service Providers |
Street Address |
1433 3RD ST SW |
City | ATTALLA |
State | AL |
Zip Code | 35954-1132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245344456 | Medi-age Pharmaceuticals Inc | Pharmacy | 1433 3rd St Sw, Attalla, AL 35954-1132 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346702438 | Amber Thomas | Social Worker | 306 7th Ave Nw, Attalla, AL 35954 | 2019-04-05 |
1609900042 | Edwin Scott Cornelius | Pharmacist | 1433 3rd Street S.w, Attalla, AL 35954-0490 | 2007-03-16 |
1578742128 | Mary Jane Quinn | Developmental Therapist | 708 5th St Nw, Attalla, AL 35954-2007 | 2007-10-31 |
1972575819 | Andrew Willcox Reiland | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
1699747535 | Debora Susan Reiland | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
1417929357 | North Alabama Family Practice, PC | Family Medicine | 515 3rd St Nw, Attalla, AL 35954-2022 | 2006-02-04 |
1215218904 | Renee Michelle Bellew | Counselor | 613 4th St Nw, Attalla, AL 35954-2034 | 2011-09-08 |
1285937847 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 404 4th St Nw, Attalla, AL 35954-2203 | 2010-12-20 |
1225418403 | Genoa Healthcare, LLC | Pharmacy | 425 5th Ave Nw Rm 92, Attalla, AL 35954-2214 | 2015-06-03 |
1588602312 | Judith Kay Morris | Nurse Practitioner | 425 5th Ave Nw, Attalla, AL 35954-2214 | 2006-06-03 |
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Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609900042 | Edwin Scott Cornelius | Pharmacist | 1433 3rd Street S.w, Attalla, AL 35954-0490 | 2007-03-16 |
1083757736 | Allan I. Morris | Pharmacist | 102 Jd Smith Dr, Attalla, AL 35954-3350 | 2007-02-14 |
1093210544 | Jeffrey Mathis | Pharmacist | 425 5th Ave Nw, Attalla, AL 35954-2214 | 2018-03-27 |
1518475037 | Vinicia Lynn Cortez | Pharmacist | 973 Gilbert Ferry Rd Se, Attalla, AL 35954-3339 | 2018-01-18 |
1902326556 | Gary Uhrig | Pharmacist | 973 Gilbert Ferry Rd Se, Attalla, AL 35954-3339 | 2017-06-25 |
1952821548 | Lewis Ed Osgatharp | Pharmacist | 973 Gilbert Ferry Rd Se, Attalla, AL 35954-3339 | 2017-06-23 |
1871911990 | Samuel Jayson Bass | Pharmacist | 973 Gilbert Ferry Rd Se, Wal-mart Pharmacy, Attalla, AL 35954-3339 | 2014-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.