Douglas R Welch, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

T-12241 Issued in MS

Practice address

1645 W Government Cove
Suite E
Brandon, MS 39042

Phone

(601) 720-5775

Fax

(601) 825-2356

NPI assigned

Sep 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olde Towne Drugs, LTD.

  dba Olde Towne Drugs

  • Compounding Pharmacy
  • Brandon, MS
  • NPI 1275951402
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1033832654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FAWNWOOD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424007",
            "telephone_number": "601-668-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT COVE",
            "address_2": "SUITE E",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-720-5775",
            "fax_number": "601-825-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10996",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-12241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azhia Watkins, MS,PLPC
• Christopher J Watkins, NP
• Yolanda Watts
• Mandy Patterson Wedgeworth, FNP-BC
• Tyler Eason Weeks, DMD
• Melinda Ann Wells, OWNER
• Misty M Westbrook, LPC
• Darryl Wheat, L.C.S.W.
• White Transport Services LLC
• Dawn White, PTA

• Pharmacist in Brandon, MS
• Providers in Brandon, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.