Active NPI
Kerry M Easterling Sr., R.PH.
- Pharmacist
- Columbia, MS
National Provider Identifier
1427367218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-7865
- Practice address
- 1100 Hwy 13 North
Freds Pharmacy
Columbia, MS 39429 - Phone
- (601) 736-3394
- Fax
- (601) 736-3499
- NPI assigned
- Sep 28, 2010
- Last updated
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- No
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-7865 | MS | Primary |
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
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7865 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1427367218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HWY 13 NORTH",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "39429",
"telephone_number": "601-736-3394",
"fax_number": "601-736-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HWY 13 NORTH",
"address_2": "FREDS PHARMACY",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "39429",
"telephone_number": "601-736-3394",
"fax_number": "601-736-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLING",
"first_name": "KERRY",
"middle_name": "M",
"name_suffix": "Sr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-7865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MS
- Diligent Healthcare, LLC
- Omega Dillon
- Dr Michael S. Zaleski (Total Foot Care Clinic, LLC)
- Rene F Dungan, SLP
- Dynamic Columbia Operating Company LLC (Columbia Health & Rehab)
- Nancy F Easterling, CFNP
- Lydia Echols
- Agnes Emerle, MD
- Encore Rehabilitation Inc (Encore Rehab of Columbia)
- Family Health Care Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.