Active NPI
Anthony Waits, R.PH.
- Pharmacist
- Prentiss, MS
National Provider Identifier
1376658617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-7901
- Practice address
- 945 Hwy 42
South Prentiss Shopping Center
Prentiss, MS 39474 - Phone
- (601) 792-4467
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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-7901 | MS | Primary |
Addresses
Primary practice location
945 Hwy 42
South Prentiss Shopping Center
Prentiss, MS 39474
Mailing address
1025 Fifth Street
P.O. Box 1804
Prentiss, MS 39474
Phone (601) 792-4467
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 |
|---|---|---|---|
| E-7901 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376658617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 FIFTH STREET",
"address_2": "P.O. BOX 1804",
"city": "PRENTISS",
"state": "MS",
"postal_code": "39474",
"telephone_number": "601-792-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 HWY 42",
"address_2": "SOUTH PRENTISS SHOPPING CENTER",
"city": "PRENTISS",
"state": "MS",
"postal_code": "39474",
"telephone_number": "601-792-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITS",
"first_name": "ANTHONY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-7901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prentiss, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.