Johnny M Caldwell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-5140 Issued in MS

Practice address

1790 W Gov St
Brandon, MS 39042-2411

Phone

(601) 825-3473

Fax

(601) 825-5909

NPI assigned

Dec 14, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Johnny M Caldwell I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1124397567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 W GOV ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422411",
            "telephone_number": "601-825-3473",
            "fax_number": "601-825-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 W GOV ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422411",
            "telephone_number": "601-825-3473",
            "fax_number": "601-825-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JOHNNY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-5140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "CALDWELL",
            "middle_name": "M",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandy Nicole Newsome Byrd, PMHNP-BC
• Felicia Byrd
• Sandra Byrd
• Krista Brown Byrnes, PT
• Rawley Aubrey Cadenhead
• Heather Marie Calnan, OT
• Olivia Claire Campbell Wilkins, MA, PCAT
• Denise Campbell
• Carla Lynn Caraway, MS
• Care Management, LLC

• Pharmacist in Brandon, MS
• Providers in Brandon, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.