Active NPI
Devon Pryne
- Pharmacist
- Hattiesburg, MS
National Provider Identifier
1245833961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-13986
- Practice address
- 6072 U S Highway 98
Hattiesburg, MS 39402-8854 - Phone
- (601) 264-3631
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 | E-13986 | MS | Primary |
Addresses
Primary practice location
6072 U S Highway 98
Hattiesburg, MS 39402-8854
Mailing address
440 Newman Camp Rd
Sumrall, MS 39482-4371
Other practice location 1
1621 Highway 15 N
Laurel, MS 39440-2123
Phone (601) 649-4670
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 |
|---|---|---|---|
| E-13986 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1245833961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 NEWMAN CAMP RD",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394824371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028854",
"telephone_number": "601-264-3631"
}
],
"practiceLocations": [
{
"address_1": "1621 Highway 15 N",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MS",
"postal_code": "394402123",
"country_code": "US",
"telephone_number": "601-649-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRYNE",
"first_name": "DEVON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-13986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.