Lisa Kincaid Odom

Primary specialty

PharmacistTaxonomy code 183500000X

License

E8781 Issued in MS

Practice address

218 Woodland Hills Dr
Oxford, MS 38655-9770

Phone

(662) 816-3914

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1174123566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 WOODLAND HILLS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559770",
            "telephone_number": "662-816-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 WOODLAND HILLS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559770",
            "telephone_number": "662-816-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LISA",
        "middle_name": "KINCAID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E8781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Patrick O'Bannon, D.M.D
• Leslie Macon O'Bryan, O.T.R./L., C.H.T.
• Meaghan Antoinette O'Connor, LPC, NCC, CCTP
• Oak Hill Health Services, LLC (Ole Town Med)
• Lindsey Oakley, P.T.
• Taylor Ann Oekerman, MPA, LAT, ATC
• Nodoka Ohno
• Mirenda R Oliver, B.S.
• Onecare
• Corinna Orange, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.