Active NPI
Carletta Robinson
- Pharmacist
- Jackson, MS
National Provider Identifier
1194073320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P12627
- Practice address
- 1497 Canton Mart Rd
Jackson, MS 39211-5435 - Phone
- (601) 977-0757
- NPI assigned
- Aug 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P12627 | MS | Primary |
Addresses
Primary practice location
1497 Canton Mart Rd
Jackson, MS 39211-5435
Mailing address
1497 Canton Mart Rd
Jackson, MS 39211-5435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12627 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1194073320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 CANTON MART RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 CANTON MART RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115435",
"telephone_number": "601-977-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CARLETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "P12627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.