David Price Tedford Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

100418 Issued in MS

Practice address

120 W Railroad St
Long Beach, MS 39560-4634

Phone

(228) 575-4057

Fax

(228) 575-4458

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #09545

  • Pharmacy
  • Long Beach, MS
  • NPI 1114932357
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1417600792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604634",
            "telephone_number": "228-575-4057",
            "fax_number": "228-575-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604634",
            "telephone_number": "228-575-4057",
            "fax_number": "228-575-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "DAVID",
        "middle_name": "PRICE",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "100418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Living Assistance Services
• John Stage
• Kevin Stage, LPN
• Kristina Stewart, LPN
• Jamie Rachael Taylor, MABC, PLCP
• The Healing Path, LLC
• Andrea Lyn Todd, PSY.D.
• Claire Jo Tuepker, LPC LMFT
• Anita Twiner-Watkins, LCSW
• University of Southern Mississippi (Gulf Park Health Center)

• Pharmacist in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.