Active NPI
Jeffrey Oswalt
- Pharmacist
- Olive Branch, MS
National Provider Identifier
1427367390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-08674
- Practice address
- 8831 Goodman Rd
Olive Branch, MS 38654-2203 - Phone
- (662) 655-1437
- Fax
- (662) 510-2197
- NPI assigned
- Sep 27, 2010
- Last updated
- Mar 25, 2021
- 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-08674 | MS | Primary |
Addresses
Primary practice location
8831 Goodman Rd
Olive Branch, MS 38654-2203
Mailing address
12967 Arbor Dr
Olive Branch, MS 38654-6091
Phone (901) 351-1745
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08674 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Getwell Pharmacy, LLC | Current | Accepting new patients | |
| Freds Stores of Tennessee Inc | 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 Olive Branch Family Pharmacy
- Community/Retail Pharmacy
- Olive Branch, MS
- NPI 1689250029
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1427367390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12967 ARBOR DR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546091",
"telephone_number": "901-351-1745",
"fax_number": "662-510-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8831 GOODMAN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386542203",
"telephone_number": "662-655-1437",
"fax_number": "662-510-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALT",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.