Active NPI
Brian Reisetter, PH.D.
- Pharmacist
- Oxford, MS
National Provider Identifier
1669342903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-010314
- Practice address
- 27 County Road 205
Oxford, MS 38655-9794 - Phone
- (662) 636-6077
- NPI assigned
- Nov 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | T-010314 | MS | Primary |
Addresses
Primary practice location
27 County Road 205
Oxford, MS 38655-9794
Mailing address
27 County Road 205
Oxford, MS 38655-9794
Phone (662) 636-6077
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-010314 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1669342903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COUNTY ROAD 205",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559794",
"telephone_number": "662-636-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COUNTY ROAD 205",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559794",
"telephone_number": "662-636-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISETTER",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MS",
"license": "T-010314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.