Active NPI
Weatherby Lunsford
- Pharmacist
- McComb, MS
National Provider Identifier
1629377494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-09693
- Practice address
- 208 W Presley Blvd
McComb, MS 39648-5524 - Phone
- (601) 684-3401
- Fax
- (601) 957-2956
- NPI assigned
- Mar 19, 2011
- 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 | E-09693 | MS | Primary |
Addresses
Primary practice location
208 W Presley Blvd
McComb, MS 39648-5524
Mailing address
6415 Berrytown Rd SE
Meadville, MS 39653-9006
Phone (601) 383-0477
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 |
|---|---|---|---|
| E-09693 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1629377494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 BERRYTOWN RD SE",
"city": "MEADVILLE",
"state": "MS",
"postal_code": "396539006",
"telephone_number": "601-383-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W PRESLEY BLVD",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396485524",
"telephone_number": "601-684-3401",
"fax_number": "601-957-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNSFORD",
"first_name": "WEATHERBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-19",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.