Individual provider Active NPI

James W. Hanson, RPH

  • Pharmacist
  • Pearl, MS
National Provider Identifier
1376728683
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E 06741 Issued in MS
Practice address
3012 Highway 80 E
Pearl, MS 39208-3497
Phone
(601) 939-4813
Fax
(601) 939-2749
NPI assigned
Jan 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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 06741 MS Primary

Addresses

Primary practice location

3012 Highway 80 E
Pearl, MS 39208-3497

Mailing address

237 Mandarin Dr
Brandon, MS 39047-8298
Phone (601) 829-9654

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

LicenseStateTypeSpecialty
E 06741MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Super D Drugs Acquisition Co. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1376728683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MANDARIN DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478298",
            "telephone_number": "601-829-9654",
            "fax_number": "601-829-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083497",
            "telephone_number": "601-939-4813",
            "fax_number": "601-939-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E 06741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.