Active NPI
Amy Elizabeth Lott
- Pharmacist
- Sumrall, MS
National Provider Identifier
1225879166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E09576
- Practice address
- 4233 Rocky Branch Rd
Sumrall, MS 39482-4142 - Phone
- (769) 307-7050
- Fax
- (769) 307-7020
- NPI assigned
- Jun 4, 2024
- 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 | E09576 | MS | Primary |
Addresses
Primary practice location
4233 Rocky Branch Rd
Sumrall, MS 39482-4142
Mailing address
42 1St East St
Sumrall, MS 39482-5051
Phone (601) 408-3967
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 |
|---|---|---|---|
| E09576 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1225879166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 1ST EAST ST",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394825051",
"telephone_number": "601-408-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 ROCKY BRANCH RD",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394824142",
"telephone_number": "769-307-7050",
"fax_number": "769-307-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E09576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumrall, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.