Individual provider Active NPI

Luanne Fair Pender Jones, PHARM. D.

  • Pharmacist
  • Grenada, MS
National Provider Identifier
1144652397
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-12549 Issued in MS
Practice address
1967 Commerce St
Grenada, MS 38901-5107
Phone
(662) 226-6741
Fax
(662) 229-0011
NPI assigned
Jul 30, 2013
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-12549 MS Primary

Addresses

Primary practice location

1967 Commerce St
Grenada, MS 38901-5107

Mailing address

1967 Commerce St
Grenada, MS 38901-5107
Phone (662) 226-6741

Other practice location 1

1357 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone (662) 258-2631

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-12549MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sav-Mor Drugs and Gifts, LLC Current Accepting new patients
Walgreen Co PastSince May 8, 2022 Accepting new patients
Marascalco Sav-Mor Drugs LLC Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1967 Commerce St
Grenada, MS 38901
Phone (662) 226-6741

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1144652397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 COMMERCE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015107",
            "telephone_number": "662-226-6741",
            "fax_number": "662-229-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 COMMERCE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015107",
            "telephone_number": "662-226-6741",
            "fax_number": "662-229-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 Veterans Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Eupora",
            "state": "MS",
            "postal_code": "397442064",
            "country_code": "US",
            "telephone_number": "662-258-2631",
            "fax_number": "662-258-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LUANNE FAIR",
        "middle_name": "PENDER",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-12549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.