Stephanie Dooley, RPH
Individual provider Active NPI Pharmacist · Raymond, MS
NPI 1124750708 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1124750708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-08767 (MS)
- Practice address
- 506 Palestine St
Raymond, MS 39154-4202 - Phone
- (601) 906-6988
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08767 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08767 | MS | Yes |
Addresses
Primary practice location
506 Palestine St
Raymond, MS 39154-4202
Mailing address
506 Palestine St
Raymond, MS 39154-4202
Other providers in Raymond, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. 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.