Active NPI
Donna Delynn Fries, RPH
- Pharmacist
- Meridian, MS
National Provider Identifier
1336749191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E8092
- Practice address
- 1733 2ND St S
Meridian, MS 39301-4514 - Phone
- (601) 485-2218
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | E8092 | MS | Primary |
Addresses
Primary practice location
1733 2ND St S
Meridian, MS 39301-4514
Mailing address
16 Le 163815
Pachuta, MS 39347-5179
Phone (601) 323-9192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E8092 | Other | MS | REGISTERED PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ddf003ff.s00981@us.wal-Mary.com | Direct |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8092 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1336749191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LE 163815",
"city": "PACHUTA",
"state": "MS",
"postal_code": "393475179",
"telephone_number": "601-323-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 2ND ST S",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014514",
"telephone_number": "601-485-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "DONNA",
"middle_name": "DELYNN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E8092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACY",
"identifier": "E8092",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ddf003ff.s00981@us.wal-Mary.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1733 2nd St S",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393014514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.