Harold Keith Waldrip

Primary specialty

PharmacistTaxonomy code 183500000X

License

D7488 Issued in MS

Practice address

110 Keating Rd
Batesville, MS 38606-2900

Phone

(662) 578-4399

NPI assigned

Mar 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Waldrip Pharms LLC

  • Community/Retail Pharmacy
  • Clarksdale, MS
  • NPI 1679623995
  NPD
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Batesville, MS
  • NPI 1740214527
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1306540935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "POPE",
            "state": "MS",
            "postal_code": "386580231",
            "telephone_number": "662-609-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KEATING RD",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062900",
            "telephone_number": "662-578-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRIP",
        "first_name": "HAROLD",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "D7488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Healthcare and Hospice
• Alison Van Brocklin
• Vascular Institute Ms Surgery Center LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Amy Kathleen Walker
• Landon Leigh Wallis, MS,CCC-SLP
• Tyrongilia Quereese Walton, DNP
• Alec Tristan Whalen, PMHNP

• Pharmacist in Batesville, MS
• Providers in Batesville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.