Active NPI
Andrew Wyatt, PHARMD
- Pharmacist
- Hernando, MS
National Provider Identifier
1043857188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010381
- Practice address
- 2380 Mount Pleasant Rd
Hernando, MS 38632-1909 - Phone
- (662) 429-5327
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010381 | MS | Primary |
Addresses
Primary practice location
2380 Mount Pleasant Rd
Hernando, MS 38632-1909
Mailing address
2538 Oak Crossing Dr
Hernando, MS 38632-7622
Phone (901) 299-8448
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-010381 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1043857188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 OAK CROSSING DR",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386327622",
"telephone_number": "901-299-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 MOUNT PLEASANT RD",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386321909",
"telephone_number": "662-429-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "ANDREW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.