Active NPI
Ginger Little
- Pharmacist
- Mantachie, MS
National Provider Identifier
1487171971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E08918
- Practice address
- 67 Watson Dr
Mantachie, MS 38855-8390 - Phone
- (662) 282-4245
- Fax
- (662) 282-4027
- NPI assigned
- Aug 24, 2017
- Last updated
- Aug 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E08918 | MS | Primary |
Addresses
Primary practice location
67 Watson Dr
Mantachie, MS 38855-8390
Mailing address
67 Watson Dr
Mantachie, MS 38855-8390
Phone (662) 282-4245
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 |
|---|---|---|---|
| E08918 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1487171971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WATSON DR",
"city": "MANTACHIE",
"state": "MS",
"postal_code": "388558390",
"telephone_number": "662-282-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WATSON DR",
"city": "MANTACHIE",
"state": "MS",
"postal_code": "388558390",
"telephone_number": "662-282-4245",
"fax_number": "662-282-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "GINGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E08918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mantachie, MS
- Resa Frederick, M.ED, NCC, LPC
- Timothy Gillespie
- Hometown Care of Mantachie LLC
- Bonnie Renee' Jones, MSN, APRN, FNP-C
- Katherine E Jones, FNP-BC
- James Brandon Loden
- Mantachie Pharmacy LLC
- Mantachie Pharmacy LLC (Mantachie Pharmacy)
- Mantachie Rural Health Care, Inc (Mantachie Clinic)
- Mantachie Rural Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.