David Anthony McKenzie, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

07503 Issued in MS

Practice address

4500 13TH St
Gulfport, MS 39501-2569

Phone

(228) 867-5239

Fax

(228) 867-5251

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1518563220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 OVERLOOK DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039410",
            "telephone_number": "228-867-5239",
            "fax_number": "228-867-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012569",
            "telephone_number": "228-867-5239",
            "fax_number": "228-867-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Sangani Blvd",
            "address_purpose": "LOCATION",
            "city": "Diberville",
            "state": "MS",
            "postal_code": "395408770",
            "country_code": "US",
            "telephone_number": "228-396-4778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "07503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chermaine McInnis
• David Scott McIntosh, PT, OCS
• John Neil McIntyre, DMD
• Raeline McIntyre, DMD
• Michael A McKay, M.D.
• Jennifer McKenzie
• Mineshia Shynae McKinney
• Diane M McLaughlin, LMSW
• Richard McMullan, NP
• Candice McMullen, RBT

• Pharmacist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.