Individual provider Active NPI

Sedjinon Gardner Doxey

  • Pharmacist
  • Meridian, MS
National Provider Identifier
1568523140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
T-09364 Issued in MS
Practice address
721 Front Street Ext
Suite 732 Acme Plaza
Meridian, MS 39301-4500
Phone
(601) 482-4003
Fax
(601) 482-3948
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X T-09364 MS Primary
Pharmacist 183500000X 14050 AL
Pharmacist 183500000X 15827 LA

Addresses

Primary practice location

721 Front Street Ext
Suite 732 Acme Plaza
Meridian, MS 39301-4500

Mailing address

1968 Parkway Cir
Toomsuba, MS 39364-9774
Phone (601) 693-8679

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
14050ALMDPharmacist
15827LAMDPharmacist
T-09364MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568523140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 PARKWAY CIR",
            "city": "TOOMSUBA",
            "state": "MS",
            "postal_code": "393649774",
            "telephone_number": "601-693-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 FRONT STREET EXT",
            "address_2": "SUITE 732 ACME PLAZA",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014500",
            "telephone_number": "601-482-4003",
            "fax_number": "601-482-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOXEY",
        "first_name": "SEDJINON",
        "middle_name": "GARDNER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-09364",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14050",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, 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.

Verify at the official NPI Registry.