Active NPI
Billy Alan Simmons, RPH
- Pharmacist
- Oxford, MS
National Provider Identifier
1699313627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E08245
- Practice address
- 2013 University Ave
Oxford, MS 38655-3511 - Phone
- (662) 236-6811
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- 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 | E08245 | MS | Primary |
Addresses
Primary practice location
2013 University Ave
Oxford, MS 38655-3511
Mailing address
2013 University Ave
Oxford, MS 38655-3511
Phone (662) 236-6811
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | billy.simmons@stores.kroger.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E08245 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Locations
2013 University Ave
Oxford, MS 38655
Phone (662) 236-6811
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Oxford, MS
- NPI 1659305431
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1699313627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 UNIVERSITY AVE",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553511",
"telephone_number": "662-236-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 UNIVERSITY AVE",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553511",
"telephone_number": "662-236-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "BILLY",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E08245",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "billy.simmons@stores.kroger.com",
"affiliation": "N",
"endpointDescription": "store email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2013 University Ave",
"city": "Oxford",
"state": "MS",
"country_code": "US",
"postal_code": "386553511",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.