Provider Demographics
NPI:1154926053
Name:WHISENANT, JOEY DEWAYNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOEY
Middle Name:DEWAYNE
Last Name:WHISENANT
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 1:319 HICKORYWOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5759
Mailing Address - Country:US
Mailing Address - Phone:334-734-3968
Mailing Address - Fax:
Practice Address - Street 1:6990 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4200
Practice Address - Country:US
Practice Address - Phone:334-271-5861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist