Provider Demographics
NPI:1457511222
Name:SEARCY, JODI DANSBY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:DANSBY
Last Name:SEARCY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607A BOLL WEEVIL CIR # 607
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2733
Mailing Address - Country:US
Mailing Address - Phone:334-347-4242
Mailing Address - Fax:344-170-3383
Practice Address - Street 1:100 PROFESSIONAL LN
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2393
Practice Address - Country:US
Practice Address - Phone:334-348-2900
Practice Address - Fax:334-348-9003
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14285Medicaid