Diana Baker Spencer, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

T-07853 Issued in MS

Practice address

410 E Walnut St
(Locke Drug Store)
Ripley, MS 38663-2112

Phone

(662) 837-7177

Fax

(662) 837-7719

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Locke Drug Store Inc

  • Community/Retail Pharmacy
  • Ripley, MS
  • NPI 1699872523
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427276138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 COUNTY ROAD 533",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348119",
            "telephone_number": "662-462-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E WALNUT ST",
            "address_2": "(LOCKE DRUG STORE)",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632112",
            "telephone_number": "662-837-7177",
            "fax_number": "662-837-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DIANA",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-07853",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000007396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Thompson Simpson, M.D.
• Alexander Sims
• Shashondiandrina Janisha Smith
• South Tippah School District
• Dwalia Sherree South-Bitter, MD
• Rebecca Marie Ragland Spencer
• Stanford Dental Clinic, LLC
• Stanford Vision Clinic LLC
• John David Stanford, DDS
• Cheryl D Stevenson

• Pharmacist in Ripley, MS
• Providers in Ripley, MS by specialty
• Pharmacist in Mississippi

• 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.

Verify at the official NPI Registry.