John Wallace Floyd, R. Ph.
Pharmacist in Northport, AL. Individual provider (NPI-1).
NPI number1295074698
StatusActive
Last updated in NPPESFeb 5, 2013
Details
- NPI
- 1295074698
- Entity type
- Individual (NPI-1)
- Name
- John Wallace Floyd
- Credential
- R. Ph.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2013
- Last updated
- Feb 5, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 16069 | AL | Yes |
| 183500000X | Pharmacist | 21764 | TX |
Practice location
3107 Lurleen B Wallace BlvdNorthport, AL 35476-3256
Phone 205-333-9343
Mailing address
629 Oak Glen DrHoover, AL 35244-3250
Phone 205-612-9361
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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