DR. KELLY DIANE SLATEN


Address: 1725 Pine St, Montgomery, AL 36106-1117
Phone: 3342938000

DR. KELLY DIANE SLATEN (NPI# 1063033157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063033157
Entity Type Individual
Full Name DR. KELLY DIANE SLATEN
Credential PHARMD
Practice Address 1725 Pine St
Montgomery
AL 36106-1117
Mailing Address 100 Cobblestone Ln
Hoover
AL 35244-3507
Practice Telephone 3342938000
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 20922 AL Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL ALABAMA PHARMACIST LICENSE 20922 01

Office Location

Street Address 1725 PINE ST
City MONTGOMERY
State AL
Zip Code 36106-1117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548267339 Noland Hospital Montgomery II, LLC Long Term Care Hospital 1725 Pine St, 6th Floor, North Wing, Montgomery, AL 36106-1109 2005-07-07
1861016909 Joshua Hunter Pybus Nurse Anesthetist, Certified Registered 1725 Pine St, Montgomery, AL 36106-1109 2020-06-04
1215572888 Integrated Care-alabama LLC Emergency Medicine 1725 Pine St, Montgomery, AL 36106-1109 2019-11-07
1699336644 Jasmine Necole Abebe Registered Nurse 1725 Pine St, Montgomery, AL 36106-1109 2019-06-20
1619530326 Ashley Tippins Nurse Practitioner 1725 Pine St, Montgomery, AL 36106-3610 2019-04-18
1821550781 Sharonica Rena Frazier Registered Nurse 1725 Pine St, Montgomery, AL 36106-1109 2019-04-01
1497229538 Michelle L Roll Nurse Anesthetist, Certified Registered 1725 Pine St, Montgomery, AL 36106-1109 2019-01-11
1275033441 Sarah Lauren Monson Nurse Anesthetist, Certified Registered 1725 Pine St, Montgomery, AL 36106-1109 2018-02-14
1013424159 Brenda Simyiu Pharmacist 1725 Pine St, Montgomery, AL 36106-1109 2018-01-09
1043723232 Brandi Parker Huett Nurse Practitioner 1725 Pine St, Montgomery, AL 36106-1109 2017-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747205 Rural Urgent Care LLC Clinic/Center 3039 Vaughn Road, Montgomery, AL 36106 2020-07-16
1548733306 Bennett Family Dentistry, LLC Dentist 4270 Carmichael Road, Montgomery, AL 36106 2019-01-04
1588133854 Lori Leanne Fail Physical Therapist 1615 Windsor Hill Court, Montgomery, AL 36106 2018-11-16
1073020749 Charlene Richmond Harrell Chiropractor 2900 Zelda Rd., Suite A, Montgomery, AL 36106 2018-01-03
1780123109 Montgomery Accident and Injury Center, Inc Nurse Practitioner 2900 Zelda Rd, Ste B, Montgomery, AL 36106 2017-02-17
1467843573 Ernest Porterfield Non-emergency Medical Transport (VAN) 4183 Carmichael Road, Suite A, Montgomery, AL 36106 2015-02-11
1114334281 Daniel Gerald O'bryant Specialist/Technologist 1160 Navarro Avenue, Montgomery, AL 36106 2014-07-21
1801213764 Amanda Hodge Specialist/Technologist 4605 Cherry Tree Terrace, Montgomery, AL 36106 2014-03-27
1871861542 Walgreen Co Durable Medical Equipment & Medical Supplies 1758 Park Pl Ste 102, Montgomery, AL 36106 2011-12-08
1578862546 Helping Hands Preventitive Health Center Community/Behavioral Health 2015 Mulberry St, Montgomery, AL 36106 2011-03-16
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275148389 Jovan Maurice Dudley Pharmacist 2180 Woodforest Pkwy N, Montgomery, TX 77316-6958 2020-09-15
1548874266 Generational Care LLC Pharmacist 4748 Regal Dr, Montgomery, AL 36116-4415 2020-09-01
1003427493 James Miracle Pharmacist 2015 Normandie Dr, Montgomery, AL 36111-2711 2020-08-11
1245754613 Matthew Alan Cole Pharmacist 215 Perry Hill Rd Dept 119, Montgomery, AL 36109-3725 2017-07-27
1982052015 Kevin J Jones Pharmacist 4385 Narrow Lane Rd, Montgomery, AL 36116 2016-05-31
1043675895 Payal Patel Pharmacist 7932 Vaughn Rd, Montgomery, AL 36116-6625 2015-12-21
1366837072 John Tyler Rinker Pharmacist 10472 Duncannon Trl, Montgomery, AL 36117-1201 2015-03-30
1871986356 Jamelle Young Pharmacist 4720 Mobile Hwy, Montgomery, AL 36108 2015-03-09
1548659006 Gary Frazier Jr. Pharmacist 2300 E South Blvd, Montgomery, AL 36116-2504 2015-01-21
1437554508 Robert Hassett Pharmacist 1028 Magnolia Curv, Montgomery, AL 36106-2133 2014-10-30
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Competitor

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City MONTGOMERY
Zip Code 36106

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Dataset Information

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.

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