Individual provider Active NPI

Cindy Melinda Winningham

  • Pharmacist
  • Clinton, MS
National Provider Identifier
1346852647
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-08720 Issued in MS
Practice address
204 Highway 80 E
Clinton, MS 39056-4716
Phone
(601) 926-1179
Fax
(601) 926-1234
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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-08720 MS Primary

Addresses

Primary practice location

204 Highway 80 E
Clinton, MS 39056-4716

Mailing address

204 Highway 80 E
Clinton, MS 39056-4716
Phone (601) 926-1179

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

State licenses

LicenseStateTypeSpecialty
E-08720MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 13, 2024 Accepting new patients
Walgreen Co PastSince Aug 23, 2020 Accepting new patients

Locations

204 Highway 80 E
Clinton, MS 39056
Phone (601) 926-1116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1346852647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564716",
            "telephone_number": "601-926-1179",
            "fax_number": "601-926-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564716",
            "telephone_number": "601-926-1179",
            "fax_number": "601-926-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNINGHAM",
        "first_name": "CINDY",
        "middle_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.