Pamila Sue Ferguson

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Moss Point, MS

NPI 1679829626 · NPPES record last updated Jul 27, 2012

Key facts

NPI
1679829626
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
E-010394 (MS)
Practice address
5001 Main St
Moss Point, MS 39563-2738
Phone
(228) 471-1397
Fax
(228) 471-1400
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E-010394MSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Burnham-McKinney Pharmacies Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-010394 MS Yes

Addresses

Primary practice location

5001 Main St
Moss Point, MS 39563-2738

Mailing address

5001 Main St
Moss Point, MS 39563-2738
Phone (228) 471-1397

Other providers in Moss Point, MS

All providers in Moss Point, MS · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mississippi

Sources for this page

Verify at the official NPI Registry.