Jonathan Gaston Box, PHARM.D.
Individual provider Active NPI Pharmacist · Brandon, MS
NPI 1013685353 · NPPES record last updated Sep 1, 2021
Key facts
- NPI
- 1013685353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-100370 (MS)
- Practice address
- 1070 Spillway Cir
Brandon, MS 39047-6035 - Phone
- (601) 829-0743
- NPI assigned
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-100370 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saver Express LLC | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-100370 | MS | Yes |
Addresses
Primary practice location
1070 Spillway Cir
Brandon, MS 39047-6035
Mailing address
1070 Spillway Cir
Brandon, MS 39047-6035
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.