Active NPI
Mitzi Trosper, PHARM.D.
- Pharmacist
- De Kalb, MS
National Provider Identifier
1326419375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010373
- Practice address
- 14365 Highway 16 W
De Kalb, MS 39328-7974 - Phone
- (769) 486-1055
- Fax
- (769) 486-1093
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-010373 | MS | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010373 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14365 Highway 16 W
De Kalb, MS 39328-7974
Mailing address
14365 Highway 16 W
De Kalb, MS 39328-7974
Phone (769) 486-1055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2015.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1326419375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14365 HIGHWAY 16 W",
"city": "DE KALB",
"state": "MS",
"postal_code": "393287974",
"telephone_number": "769-486-1055",
"fax_number": "769-486-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14365 HIGHWAY 16 W",
"city": "DE KALB",
"state": "MS",
"postal_code": "393287974",
"telephone_number": "769-486-1055",
"fax_number": "769-486-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROSPER",
"first_name": "MITZI",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Kalb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.