Active NPI
Douglas Paul
- Pharmacist
- Oxford, MS
National Provider Identifier
1407790330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-09124
- Practice address
- 1202 Wood Duck CV
Oxford, MS 38655-7346 - Phone
- (662) 202-6619
- NPI assigned
- Apr 20, 2026
- 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-09124 | MS | Primary |
Addresses
Primary practice location
1202 Wood Duck CV
Oxford, MS 38655-7346
Mailing address
1202 Wood Duck CV
Oxford, MS 38655-7346
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-09124 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1407790330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 WOOD DUCK CV",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 WOOD DUCK CV",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557346",
"telephone_number": "662-202-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "DOUGLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.