MR. JONATHAN TYLER PROCTOR PHARMD
NPI 1720955180
Pharmacist in Dothan, AL

Active since October 21, 2025
4650 W MAIN ST, DOTHAN, AL 36305(334) 792-6824(334) 824-6988 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jonathan Tyler Proctor Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN TYLER PROCTOR PHARMD (NPI 1720955180) is an individual pharmacist in Dothan, Alabama, licensed in Alabama (24347) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1720955180
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JONATHAN TYLER PROCTORCredential: PHARMD
Location Address4650 W MAIN STDothan, AL 36305-9419
Mailing Address5369 10th StMalone, FL 32445-3428 · (334) 790-2440
Fax(334) 824-6988
Sole ProprietorYes
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1720955180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AL · 24347
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4650 W MAIN ST, Dothan, AL 36305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy Technician
4650 W MAIN ST
DOTHAN, AL 36305
Pharmacist
4650 W MAIN ST
DOTHAN, AL 36305
Pharmacist
4650 W MAIN ST
DOTHAN, AL 36305
Pharmacist
4650 W MAIN ST, STE 700
DOTHAN, AL 36305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Proctor's NPI number?

The NPI number for Jonathan Proctor is 1720955180. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Jonathan Proctor located?

Jonathan Proctor practices at 4650 W Main St, Dothan, AL 36305. The listed phone number is (334) 792-6824.

What is Jonathan Proctor's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jonathan Proctor was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.