Melinda Kay Jones, RPH
Individual provider Active NPI Pharmacist · Purvis, MS
NPI 1093083115 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1093083115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-08763 (MS)
- Practice address
- 509 Highway 589
Purvis, MS 39475-4114 - Phone
- (601) 794-2583
- NPI assigned
- Dec 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08763 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08763 | MS | Yes |
Addresses
Primary practice location
509 Highway 589
Purvis, MS 39475-4114
Mailing address
433 Cedar St
Petal, MS 39465-4436
Phone (601) 447-6567
Other practice location 1
5093 Hardy St
Hattiesburg, MS 39402-1336
Phone (601) 579-6698
Other providers in Purvis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.