Active NPI
Joachim Yves McKinney, PHARM D
- Pharmacist
- Caledonia, MS
National Provider Identifier
1104100858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-9303
- Practice address
- 4454 Cal Steens Rd
Caledonia, MS 39740-8677 - Phone
- (662) 327-0079
- Fax
- (662) 328-5007
- NPI assigned
- Sep 29, 2011
- Last updated
- Sep 29, 2011
- Sex
- Male
- 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-9303 | MS | Primary |
Addresses
Primary practice location
4454 Cal Steens Rd
Caledonia, MS 39740-8677
Mailing address
4454 Cal Steens Rd
Caledonia, MS 39740-8677
Phone (662) 327-0079
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-9303 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1104100858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4454 CAL STEENS RD",
"city": "CALEDONIA",
"state": "MS",
"postal_code": "397408677",
"telephone_number": "662-327-0079",
"fax_number": "662-328-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4454 CAL STEENS RD",
"city": "CALEDONIA",
"state": "MS",
"postal_code": "397408677",
"telephone_number": "662-327-0079",
"fax_number": "662-328-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "JOACHIM",
"middle_name": "YVES",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-9303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MS
- Misty S Glasgow, OTR
- Golden Triangle Family Eye Care, PLLC (Caledonia Vision Center)
- Lisa Jordan Hudson, FNP-C
- Jrco, LLC (Caledonia Medical Care)
- Maegan Mattison, CLPN
- Pioneer Health Services of Monroe County, Inc (Pioneer Family Medical of Caledonia)
- Nicholas Thomas Richardson, O.D.
- Leslie Herndon Singley
- Sabrina Sondag, DNP
- John Andrew Troxler, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.