Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jonathan Tyler Proctor, PHARMD

Individual provider Pharmacist · NPI 1720955180

Mr. Jonathan Tyler Proctor, PHARMD is a Pharmacist in Dothan, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4650 W Main St
Dothan, AL 36305-9419
Phone: (334) 792-6824
Fax: (334) 824-6988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 24347 (AL)

Record details

NPI number1720955180
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address5369 10th St, Malone, FL 32445-3428

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