Healthcare Provider Details

I. General information

NPI: 1932067352
Provider Name (Legal Business Name): ALEXIS NICOLE TITUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 CHACE DR
HOOVER AL
35244-1829
US

IV. Provider business mailing address

2850 VENICE RD APT 4106
BIRMINGHAM AL
35211-7015
US

V. Phone/Fax

Practice location:
  • Phone: 205-987-7286
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24138
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035522
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: