Active NPI
Megan Galloway, PHARMD
- Pharmacist
- Horn Lake, MS
National Provider Identifier
1417501594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42123
- Practice address
- 2401 Goodman Rd W
Horn Lake, MS 38637-1308 - Phone
- (662) 342-6229
- NPI assigned
- Jul 28, 2019
- Last updated
- Jul 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E15498 | MS | |
| Pharmacist | 183500000X | PD14893 | AR | |
| Pharmacist | 183500000X | 42123 | TN | Primary |
Addresses
Primary practice location
2401 Goodman Rd W
Horn Lake, MS 38637-1308
Mailing address
732 Southern Pride Dr
Collierville, TN 38017-9357
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14893 | AR | MD | Pharmacist |
| E15498 | MS | MD | Pharmacist |
| 42123 | TN | 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 Wal-Mart Pharmacy 103593
- Community/Retail Pharmacy
- Horn Lake, MS
- NPI 1164449583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1417501594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SOUTHERN PRIDE DR",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GOODMAN RD W",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371308",
"telephone_number": "662-342-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "MEGAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-28",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E15498",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14893",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horn Lake, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.