Active NPI
Steve M Mabry Jr., RPH
- Pharmacist
- Vicksburg, MS
National Provider Identifier
1467589945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E6321
- Practice address
- 2122 Clay St
Vicksburg, MS 39183-3119 - Phone
- (601) 636-5042
- Fax
- (601) 638-7901
- NPI assigned
- Feb 28, 2007
- 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 | E6321 | MS | Primary |
Addresses
Primary practice location
2122 Clay St
Vicksburg, MS 39183-3119
Mailing address
105 Carlton Place Dr
Vicksburg, MS 39180-1822
Phone (601) 634-0162
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 |
|---|---|---|---|
| E6321 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durst Discount Drugs, Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Vicksburg, MS
- NPI 1609952175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467589945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CARLTON PLACE DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391801822",
"telephone_number": "601-634-0162",
"fax_number": "601-638-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 CLAY ST",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391833119",
"telephone_number": "601-636-5042",
"fax_number": "601-638-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "STEVE",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E6321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.