Active NPI
Patricia Denise Lavender
- Pharmacist
- Columbus, MS
National Provider Identifier
1518569045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E7523
- Practice address
- 1913 Highway 45 N
Columbus, MS 39705-1950 - Phone
- (662) 329-1766
- Fax
- (662) 327-0236
- NPI assigned
- Nov 10, 2020
- 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 | E7523 | MS | Primary |
Addresses
Primary practice location
1913 Highway 45 N
Columbus, MS 39705-1950
Mailing address
493 Renon LN
Caledonia, MS 39740-8689
Phone (662) 547-9432
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 |
|---|---|---|---|
| E7523 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1518569045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 RENON LN",
"city": "CALEDONIA",
"state": "MS",
"postal_code": "397408689",
"telephone_number": "662-547-9432",
"fax_number": "662-327-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 HIGHWAY 45 N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051950",
"telephone_number": "662-329-1766",
"fax_number": "662-327-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVENDER",
"first_name": "PATRICIA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E7523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.