Unknown Individual – Pharmacist, NPI 1164528048

Unknown Individual is a healthcare provider. based in Hoover, Alabama. specializing in Pharmacist. They hold a License No. 10760 (AL). The NPI Number for Unknown Individual is 1164528048

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164528048
Phone
(205) 425-3257
Address
5808 WILLOW LAKE DR
Deactivation Date
18 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5808, Willow Lake Drive, Willow Lakes, Shades Run, Hoover, Jefferson County, Alabama, 35244, United States

    HOOVER, AL 35244

    Phone: (205) 425-3257

    Fax: (205) 425-3257

    Type: Mailing

  • NE Corner of Bessemer Super Hwy & Vinseville Rd, Bessemer Road, Ivanhoe, Birmingham, Jefferson County, Alabama, 35208, United States

    BIRMINGHAM, AL 35244

    Phone: (205) 788-1942

    Fax: (205) 788-6653

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35244)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1164528048 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Pharmacist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Hoover, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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