Active NPI
J. R. Denton, RPH.
- Pharmacist
- Calhoun City, MS
National Provider Identifier
1184637423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-05888
- Practice address
- 131 Main St
Public Square
Calhoun City, MS 38916 - Phone
- (662) 628-5331
- Fax
- (662) 628-8444
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | E-05888 | MS | Primary |
| Pharmacist | 183500000X | 11530 | TN |
Addresses
Primary practice location
131 Main St
Public Square
Calhoun City, MS 38916
Mailing address
111 Cassies TRL
Calhoun City, MS 38916-7700
Phone (662) 628-5331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11530 | Other | TN | PHARMACY LICENSE |
| E-O5888 | Other | MS | PHARMACY LICENSE |
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-05888 | MS | MD | Pharmacist |
| 11530 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184637423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CASSIES TRL",
"city": "CALHOUN CITY",
"state": "MS",
"postal_code": "389167700",
"telephone_number": "662-628-5331",
"fax_number": "662-628-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN ST",
"address_2": "PUBLIC SQUARE",
"city": "CALHOUN CITY",
"state": "MS",
"postal_code": "38916",
"telephone_number": "662-628-5331",
"fax_number": "662-628-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTON",
"first_name": "J.",
"middle_name": "R.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-05888",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11530",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "11530",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "E-O5888",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.