Active NPI
Randy D Culpepper, PHARMACIST
- Pharmacist
- Carthage, MS
National Provider Identifier
1376143693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-6002
- Practice address
- 905 Highway 16 W
Carthage, MS 39051-4426 - Phone
- (601) 267-5999
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Male
- 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 | E-6002 | MS | Primary |
Addresses
Primary practice location
905 Highway 16 W
Carthage, MS 39051-4426
Mailing address
11221 Road 210
Philadelphia, MS 39350-2989
Phone (601) 650-9429
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-6002 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-0305
- Community/Retail Pharmacy
- Carthage, MS
- NPI 1265459689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1376143693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11221 ROAD 210",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393502989",
"telephone_number": "601-650-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HIGHWAY 16 W",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514426",
"telephone_number": "601-267-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULPEPPER",
"first_name": "RANDY",
"middle_name": "D",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-6002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MS
- Charlotte Laster (Comfort and Care Health)
- Chiropractic Wellness Center
- Cook Wholesale Co Inc (Cook Medical Supply Carthage)
- Hannah Cooper, FNP
- Ashley Crapps
- Aubree Jean Davis, FNP-C
- Diversicare of Carthage, LLC (Diversicare of Carthage)
- Sharon Gail Dunn, CFNP
- Edinburg Drugs LLC (Edinburg Drugs)
- Lerodrick Kentrell Edmond Sr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.