Active NPI
Elizabeth Annette Patton, PHARM D
- Pharmacist
- Grenada, MS
National Provider Identifier
1063013084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-15587
- Practice address
- 1655 Sunset Dr
Grenada, MS 38901-4061 - Phone
- (662) 226-6550
- NPI assigned
- Nov 5, 2020
- Last updated
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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-15587 | MS | Primary |
Addresses
Primary practice location
1655 Sunset Dr
Grenada, MS 38901-4061
Mailing address
101 Ricky D Britt Sr Blvd Ste 6
Oxford, MS 38655-9110
Phone (166) 261-4158
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-15587 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1063013084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RICKY D BRITT SR BLVD STE 6",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559110",
"telephone_number": "166-261-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 SUNSET DR",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014061",
"telephone_number": "662-226-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "ELIZABETH",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-15587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
- Nexion Health at Grenada, Inc. (Grenada Rehabilitation and Healthcare Center)
- John David Nobile
- North Mississippi Foot Specialists PC
- Ronald J Okabe, PT
- James Walter Parrett Jr., PHARM.D.
- James Michael Pegg, O.D.
- Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P
- James R Philley, DMD
- Physicians and Surgeons (Grenada Doctors Clinic)
- Karen W Plunkett, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.