Active NPI
Van Philip East Jr., PHARMACIST
- Pharmacist
- Aberdeen, MS
National Provider Identifier
1124327358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-03781
- Practice address
- 200 Highway 145 N
Aberdeen, MS 39730-2366 - Phone
- (662) 369-9311
- Fax
- (662) 369-7865
- NPI assigned
- Mar 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-03781 | MS | Primary |
| Pharmacist | 183500000X | 6160 | AL |
Addresses
Primary practice location
200 Highway 145 N
Aberdeen, MS 39730-2366
Mailing address
1819 Highway 25 N
Amory, MS 38821-8004
Phone (662) 256-5030
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 |
|---|---|---|---|
| 6160 | AL | MD | Pediatric Dentist |
| E-03781 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1124327358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 HIGHWAY 25 N",
"city": "AMORY",
"state": "MS",
"postal_code": "388218004",
"telephone_number": "662-256-5030",
"fax_number": "662-369-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGHWAY 145 N",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397302366",
"telephone_number": "662-369-9311",
"fax_number": "662-369-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAST",
"first_name": "VAN",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-03781",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, MS
- Curries Family Care Pharmacy of Aberdeen,Inc
- Curries Family Care Pharmacy of Aberdeen,Inc
- Diversified Nursing Services, Inc. (Lisa B. Cooper, CFNP)
- Sherita Renee' Dobbins, LCSW
- Roy Donald Duncan, MD
- James Alan Easter, NP-C
- Lisa B Elgin, NP
- Elite Physicians, Inc. (Vincent B. Barker, MD)
- Enduracare Acute Care Services LLC
- Bridgette N. Fields, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.