NPI Code Detail JSON Logo

1073616439 NPI number — MARY BETH DURHAM RPH

NPI Number: 1073616439
Health Care Provider/Practitioner: MARY BETH DURHAM RPH

Information about “1073616439” NPI (MARY BETH DURHAM RPH) exists in 1073616439 in HTML format HTML  |  1073616439 in plain Text format TXT  |  1073616439 in PDF (Portable Document Format) PDF  |  1073616439 in an XML format XML  formats.

NPI Number : 1073616439 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073616439",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURHAM",
    "FirstName": "MARY BETH",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MIRABITO",
    "OtherFirstName": "MARY BETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "110 MARTHA ANN LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35630",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-767-1061",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2112 HELTON DRIVE",
    "SecondLinePracticeLocationAddress": "MER-ROB PHARMACY",
    "PracticeLocationAddressCityName": "FLORENCE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35630",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-764-4474",
    "PracticeLocationAddressFaxNumber": "256-764-3720",
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "11432",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.