Individual provider Active NPI

Dawson Garrett Delee

  • Pharmacist
  • Woodville, MS
National Provider Identifier
1043753791
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
T-15261 Issued in MS
Practice address
251 US Highway 61 N
Woodville, MS 39669-4619
Phone
(769) 247-1240
Fax
(769) 247-1241
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.021776 LA
Pharmacist 183500000X T-15261 MS Primary

Addresses

Primary practice location

251 US Highway 61 N
Woodville, MS 39669-4619

Mailing address

PO Box 1097
Woodville, MS 39669-1097
Phone (769) 247-1240

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

State licenses

LicenseStateTypeSpecialty
PST.021776LAMDPharmacist
T-15261MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Delee Specialty Services LLC CurrentSince Apr 9, 2023 Accepting new patients
Field Memorial Community Hospital PastSince Oct 1, 2022 Accepting new patients
Canovas City Drug Store PastSince Oct 1, 2022 Accepting new patients

Locations

251 US Highway 61 N
Woodville, MS 39669
Phone (769) 247-1240

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1043753791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396691097",
            "telephone_number": "769-247-1240",
            "fax_number": "769-247-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 US HIGHWAY 61 N",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396694619",
            "telephone_number": "769-247-1240",
            "fax_number": "769-247-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEE",
        "first_name": "DAWSON",
        "middle_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021776",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-15261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.