Individual provider Active NPI

Natalya Wigginton, PHARMD

  • Pharmacist
  • Tupelo, MS
National Provider Identifier
1255953857
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-010387 Issued in MS
Practice address
115 N Thomas St Ste G
Tupelo, MS 38801-3082
Phone
(662) 844-8552
Fax
(662) 844-8504
NPI assigned
May 18, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-010387 MS Primary

Addresses

Primary practice location

115 N Thomas St Ste G
Tupelo, MS 38801-3082

Mailing address

115 N Thomas St Ste G
Tupelo, MS 38801-3082
Phone (662) 844-8552

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pioneerrx

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-010387MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Street Compounding Pharmacy CurrentSince May 24, 2020 Accepting new patients

Locations

115 N Thomas St
Ste G
Tupelo, MS 38801
Phone (662) 844-8552

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1255953857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N THOMAS ST STE G",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013082",
            "telephone_number": "662-844-8552",
            "fax_number": "662-844-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N THOMAS ST STE G",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013082",
            "telephone_number": "662-844-8552",
            "fax_number": "662-844-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINTON",
        "first_name": "NATALYA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-010387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pioneerrx",
            "affiliation": "N",
            "address_1": "115 N Thomas St Ste G",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388013082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.