Alex Ambeau, PHARMD
Individual provider Active NPI Pharmacist · Hattiesburg, MS
NPI 1023316163 · NPPES record last updated Mar 12, 2011
Key facts
- NPI
- 1023316163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-010452 (MS)
- Practice address
- 4400 Hardy St
Hattiesburg, MS 39402-1372 - Phone
- (601) 268-9681
- NPI assigned
- Mar 12, 2011
- Sex
- Male
- Sole proprietor
- No
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-010452 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010452 | MS | Yes |
Addresses
Primary practice location
4400 Hardy St
Hattiesburg, MS 39402-1372
Mailing address
4400 Hardy St
Hattiesburg, MS 39402-1372
Phone (601) 268-9681
Other providers in Hattiesburg, MS
- Alpha Sleep, LLC
- Nabih Alsheikh
- Altruistic Care LLC
- Johanna M Alvarez
- Syed Mohammed Amanuddin
- Ambulatory Cardiovascular Center of Mississippi
- Amedisys Mississippi, LLC
- Jessica Amoruso
- Ariyana Ashunti Amos
- Akwasi Amponsah
All providers in Hattiesburg, MS · Pharmacist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2011. 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.