Provider Demographics
NPI:1982052015
Name:JONES, KEVIN J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 NARROW LANE ROAD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AK
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-286-5374
Mailing Address - Fax:334-286-5385
Practice Address - Street 1:4385 NARROW LANE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116
Practice Address - Country:US
Practice Address - Phone:334-286-5374
Practice Address - Fax:334-286-5385
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16264183500000X, 1835P0018X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist