Stacy Therrell Thrash, PHARM,D,

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-12598 Issued in MS

Practice address

915 Hill St
Ellisville, MS 39437-2419

Phone

(601) 545-2056

Fax

(601) 545-3945

NPI assigned

Jul 31, 2012

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1609122332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HILL ST",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372419",
            "telephone_number": "601-477-3573",
            "fax_number": "601-477-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILL ST",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372419",
            "telephone_number": "601-545-2056",
            "fax_number": "601-545-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASH",
        "first_name": "STACY",
        "middle_name": "THERRELL",
        "name_prefix": "Dr.",
        "credential": "PHARM,D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walgreen Co (Ellisville Drug #15828, Powered by Walgreens)
• Nikki Red Walters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.