Active NPI
Mitchell Ray Langston, R.PH.
- Pharmacist
- Pearl, MS
National Provider Identifier
1104134675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-6463
- Practice address
- 235 George Wallace Dr
Pearl, MS 39208-3524 - Phone
- (601) 932-1660
- Fax
- (601) 932-1121
- NPI assigned
- Sep 18, 2010
- Sex
- Male
- Sole proprietor
- No
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-6463 | MS | Primary |
Addresses
Primary practice location
235 George Wallace Dr
Pearl, MS 39208-3524
Mailing address
24 Cable CT
Brandon, MS 39042-1996
Phone (601) 927-1514
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6463 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284768000000",
"number": "1104134675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CABLE CT",
"city": "BRANDON",
"state": "MS",
"postal_code": "390421996",
"telephone_number": "601-927-1514",
"fax_number": "601-932-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 GEORGE WALLACE DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392083524",
"telephone_number": "601-932-1660",
"fax_number": "601-932-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "MITCHELL",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-18",
"last_updated": "2010-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-6463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.