Kerry M Easterling Sr., R.PH.
Individual provider Active NPI Pharmacist · Columbia, MS
NPI 1427367218 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1427367218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-7865 (MS)
- Practice address
- 1100 Hwy 13 North
Freds Pharmacy
Columbia, MS 39429 - Phone
- (601) 736-3394
- Fax
- (601) 736-3499
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7865 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-7865 | MS | Yes |
Addresses
Primary practice location
1100 Hwy 13 North
Freds Pharmacy
Columbia, MS 39429
Mailing address
1100 Hwy 13 North
Columbia, MS 39429
Phone (601) 736-3394
Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.