Tara Tutor James
Individual provider Active NPI Pharmacist · Pontotoc, MS
NPI 1265033682 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1265033682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-11928 (MS)
- Practice address
- 100 McCord Rd
Pontotoc, MS 38863-6245 - Phone
- (662) 489-5421
- Fax
- (662) 489-7424
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11928 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-11928 | MS | Yes |
Addresses
Primary practice location
100 McCord Rd
Pontotoc, MS 38863-6245
Mailing address
410 Cotton Acres
Pontotoc, MS 38863-8559
Phone (662) 509-0000
Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.