Active NPI
Karen P Bates, PHARMD
- Pharmacist
- Jackson, MS
National Provider Identifier
1447529151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39489
- Practice address
- 955 N State St
Jackson, MS 39202-2627 - Phone
- (601) 969-5388
- Fax
- (601) 969-5381
- NPI assigned
- Dec 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-09974 | MS | |
| Pharmacist | 183500000X | 39489 | TX | Primary |
Addresses
Primary practice location
955 N State St
Jackson, MS 39202-2627
Mailing address
955 N State St
Jackson, MS 39202-2627
Phone (601) 969-5388
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-09974 | MS | MD | Pharmacist |
| 39489 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Jackson, MS
- NPI 1568477727
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324857600000",
"number": "1447529151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022627",
"telephone_number": "601-969-5388",
"fax_number": "601-969-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022627",
"telephone_number": "601-969-5388",
"fax_number": "601-969-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "KAREN",
"middle_name": "P",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-26",
"last_updated": "2011-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-09974",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.