Provider Demographics
NPI:1801829403
Name:HONESTY MEDICATION THERAPY MANAGEMENT
Entity Type:Organization
Organization Name:HONESTY MEDICATION THERAPY MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:TILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:251-414-3050
Mailing Address - Street 1:800 DOWNTOWNER BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5416
Mailing Address - Country:US
Mailing Address - Phone:251-414-3050
Mailing Address - Fax:
Practice Address - Street 1:800 DOWNTOWNER BLVD STE 106
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5416
Practice Address - Country:US
Practice Address - Phone:251-414-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15106302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization