Active NPI
Jessica McDonald
- Pharmacist
- Moss Point, MS
National Provider Identifier
1104281781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-09455
- Practice address
- 7100 Highway 614
Moss Point, MS 39562-7395 - Phone
- (228) 588-2888
- Fax
- (228) 588-2890
- NPI assigned
- Dec 23, 2015
- Last updated
- Dec 23, 2015
- 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-09455 | MS | Primary |
Addresses
Primary practice location
7100 Highway 614
Moss Point, MS 39562-7395
Mailing address
7100 Highway 614
Moss Point, MS 39562-7395
Phone (228) 588-2888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-09455 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1104281781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 HIGHWAY 614",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395627395",
"telephone_number": "228-588-2888",
"fax_number": "228-588-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 HIGHWAY 614",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395627395",
"telephone_number": "228-588-2888",
"fax_number": "228-588-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moss Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.