Individual provider Active NPI

J. R. Denton, RPH.

  • Pharmacist
  • Calhoun City, MS
National Provider Identifier
1184637423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-05888 Issued in MS
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11530OtherTNPHARMACY LICENSE
E-O5888OtherMSPHARMACY 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

LicenseStateTypeSpecialty
E-05888MSMDPharmacist
11530TNMDPharmacist

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.

Verify at the official NPI Registry.