Active NPI
Jessica White Sims, PHARMD
- Pharmacist
- Horn Lake, MS
National Provider Identifier
1063846871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-13011
- Practice address
- 4028 Goodman Rd W
Horn Lake, MS 38637-1325 - Phone
- (662) 393-3477
- Fax
- (662) 393-3214
- NPI assigned
- Aug 28, 2013
- Last updated
- Aug 28, 2013
- 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-13011 | MS | Primary |
Addresses
Primary practice location
4028 Goodman Rd W
Horn Lake, MS 38637-1325
Mailing address
10867 Brentway CV
Hernando, MS 38632-9620
Phone (662) 501-0924
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-13011 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1063846871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10867 BRENTWAY CV",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386329620",
"telephone_number": "662-501-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4028 GOODMAN RD W",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371325",
"telephone_number": "662-393-3477",
"fax_number": "662-393-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JESSICA",
"middle_name": "WHITE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-13011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horn Lake, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.