Individual provider Active NPI

Jennifer Meyn Purser, PHARM.D

  • Pharmacist
  • McComb, MS
National Provider Identifier
1003942541
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-09861 Issued in MS
Practice address
208 W Presley Blvd
McComb, MS 39648-5524
Phone
(601) 684-3401
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-09861 MS Primary

Addresses

Primary practice location

208 W Presley Blvd
McComb, MS 39648-5524

Mailing address

1133 Kenna Rd
Summit, MS 39666-9141
Phone (601) 833-9063

Other practice location 1

820 Brookway Blvd
Brookhaven, MS 39601-2642
Phone (601) 833-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-09861MSMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1003942541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 KENNA RD",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669141",
            "telephone_number": "601-833-9063",
            "fax_number": "601-835-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W PRESLEY BLVD",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485524",
            "telephone_number": "601-684-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Brookway Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012642",
            "country_code": "US",
            "telephone_number": "601-833-9063",
            "fax_number": "601-835-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSER",
        "first_name": "JENNIFER",
        "middle_name": "MEYN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.