Robert Charles Ricks II
Individual provider Active NPI Pharmacist · Baldwyn, MS
NPI 1679428189 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1679428189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-14969 (MS)
- Practice address
- 735 S Fourth St
Baldwyn, MS 38824-2612 - Phone
- (662) 365-5036
- NPI assigned
- Mar 2, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14969 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T and B Enterprises | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-14969 | MS | Yes |
Addresses
Primary practice location
735 S Fourth St
Baldwyn, MS 38824-2612
Mailing address
735 S Fourth St
Baldwyn, MS 38824-2612
Phone (662) 365-5036
Other providers in Baldwyn, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.