Active NPI
Gwendolyn Coleman Garror, R.PH.
- Pharmacist
- Clinton, MS
National Provider Identifier
1134443385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-7907
- Practice address
- 132 Fairmount Drive
Clinton, MS 39056 - Phone
- (601) 988-1710
- Fax
- (601) 988-1711
- NPI assigned
- Mar 17, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051923-1 | NY | |
| Pharmacist | 183500000X | E-7907 | MS | Primary |
Addresses
Primary practice location
132 Fairmount Drive
Clinton, MS 39056
Mailing address
132 Fairmount Drive
Clinton, MS 39056-2050
Phone (601) 988-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134443385 | Other | NY | IMMUNIZATIONS |
Other names 1
- Gwendolyn Coleman
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-7907 | MS | MD | Pharmacist |
| 051923-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1134443385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 FAIRMOUNT DRIVE",
"city": "CLINTON",
"state": "MS",
"postal_code": "390562050",
"telephone_number": "601-988-1710",
"fax_number": "601-988-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 FAIRMOUNT DRIVE",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "601-988-1710",
"fax_number": "601-988-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARROR",
"first_name": "GWENDOLYN",
"middle_name": "COLEMAN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051923-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-7907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZATIONS",
"identifier": "1134443385",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "COLEMAN",
"credential": "R.PH.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.