Active NPI
Jene Berry Landrum
- Pharmacist
- Columbus, MS
National Provider Identifier
1053980912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E08205
- Practice address
- 2219 5TH St N
Columbus, MS 39705-2211 - Phone
- (662) 327-5400
- Fax
- (662) 327-5225
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- 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 | E08205 | MS | Primary |
Addresses
Primary practice location
2219 5TH St N
Columbus, MS 39705-2211
Mailing address
2219 5TH St N
Columbus, MS 39705-2211
Phone (662) 327-5400
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
| License | State | Type | Specialty |
|---|---|---|---|
| E08205 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLC Holdings | Current | Accepting new patients | |
| SLC Holdings | Current | Accepting new patients |
Locations
2219 5th St N
Columbus, MS 39705
Phone (662) 327-5400
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Columbus, MS
- NPI 1386729317
-
- Community/Retail Pharmacy
- Columbus, MS
- NPI 1700523503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1053980912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052211",
"telephone_number": "662-327-5400",
"fax_number": "662-327-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052211",
"telephone_number": "662-327-5400",
"fax_number": "662-327-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "JENE",
"middle_name": "BERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E08205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
- KS Hudgins Professional Counseling and Consulting Group, LLC
- Ishani Deepak Kudtarkar, MD
- Laboratory Corporation of America Holdings
- Emily Wilson Lackey, OTR/L
- Linda Lamison, NP
- Steven Ray Landrum, RPH
- William Chase Larmour, NP
- Sarah Ruth Latham, LCSW
- Titus Latham
- Philip A Laurence, PT, DPT, SCS, CSCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.