Individual provider Active NPI

Cynthia L Sandroni, R.PH.

  • Pharmacist
  • Jackson, MS
National Provider Identifier
1649562265
Registry record updated May 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-06271 Issued in MS
Practice address
114 E McDowell Rd
Jackson, MS 39204-5718
Phone
(601) 371-1452
Fax
(601) 372-7102
NPI assigned
May 15, 2011
Last updated
May 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-06271 MS Primary

Addresses

Primary practice location

114 E McDowell Rd
Jackson, MS 39204-5718

Mailing address

114 E McDowell Rd
Jackson, MS 39204-5718
Phone (601) 371-1452

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
E-06271MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305417600000",
    "number": "1649562265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MCDOWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045718",
            "telephone_number": "601-371-1452",
            "fax_number": "601-372-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MCDOWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045718",
            "telephone_number": "601-371-1452",
            "fax_number": "601-372-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRONI",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-15",
        "last_updated": "2011-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-06271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; 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.