Individual provider Active NPI

Farrah Schonewitz

  • Pharmacist
  • Diberville, MS
National Provider Identifier
1508543018
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-101158 Issued in MS
Practice address
12024 Lamey Bridge Rd
Diberville, MS 39540-4606
Phone
(228) 396-2858
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-101158 MS Primary

Addresses

Primary practice location

12024 Lamey Bridge Rd
Diberville, MS 39540-4606

Mailing address

12024 Lamey Bridge Rd
Diberville, MS 39540-4606
Phone (228) 297-8567

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

LicenseStateTypeSpecialty
E-101158MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi CVS Pharmacy LLC PastSince Jul 2, 2023 Accepting new patients
Mississippi CVS Pharmacy LLC PastSince Jul 2, 2023 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1508543018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 LAMEY BRIDGE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395404606",
            "telephone_number": "228-297-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12024 LAMEY BRIDGE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395404606",
            "telephone_number": "228-396-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONEWITZ",
        "first_name": "FARRAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-101158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.