Krista Clifton

Individual provider Active NPI Pharmacist · Amory, MS

NPI 1427620533 · NPPES record last updated Jul 16, 2021

Key facts

NPI
1427620533
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E-100250 (MS)
Practice address
1515 Highway 278 E
Amory, MS 38821-5909
Phone
(662) 256-2281
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E-100250MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past
since Jul 25, 2021
Accepting new patients
Wal-Mart Stores East LP Past
since Jul 25, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-100250 MS Yes

Addresses

Primary practice location

1515 Highway 278 E
Amory, MS 38821-5909

Mailing address

1398 County Road 1451
Mooreville, MS 38857-7204
Phone (662) 255-7976

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL kmclift.s00273.us@wal-mart.com Direct

Other providers in Amory, MS

All providers in Amory, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.