Joachim Yves McKinney, PHARM D
Individual provider Active NPI Pharmacist · Caledonia, MS
NPI 1104100858 · NPPES record last updated Sep 29, 2011
Key facts
- NPI
- 1104100858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-9303 (MS)
- Practice address
- 4454 Cal Steens Rd
Caledonia, MS 39740-8677 - Phone
- (662) 327-0079
- Fax
- (662) 328-5007
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9303 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-9303 | MS | Yes |
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
Other providers in Caledonia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2011. 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.