Healthcare Provider Details

I. General information

NPI: 1104502939
Provider Name (Legal Business Name): ALYSSA BARNES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 1ST ST N
ALABASTER AL
35007-8703
US

IV. Provider business mailing address

569 OLD CAHABA DR
HELENA AL
35080-7084
US

V. Phone/Fax

Practice location:
  • Phone: 205-620-8835
  • Fax:
Mailing address:
  • Phone: 562-508-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22458
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: