Individual provider Active NPI

Camille Pargo Jones, PHARMD

  • Pharmacist
  • Cruger, MS
National Provider Identifier
1700519428
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14553 Issued in MS
Practice address
6034 County Road 75
Cruger, MS 38924-5546
Phone
(662) 364-6167
Fax
(662) 200-5876
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41958 TN
Pharmacist 183500000X 14553 MS Primary

Addresses

Primary practice location

6034 County Road 75
Cruger, MS 38924-5546

Mailing address

6034 County Road 75
Cruger, MS 38924-5546
Phone (662) 364-6167

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 Pharmacy

State licenses

LicenseStateTypeSpecialty
14553MSMDPharmacist
41958TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1700519428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 COUNTY ROAD 75",
            "city": "CRUGER",
            "state": "MS",
            "postal_code": "389245546",
            "telephone_number": "662-364-6167",
            "fax_number": "662-200-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 COUNTY ROAD 75",
            "city": "CRUGER",
            "state": "MS",
            "postal_code": "389245546",
            "telephone_number": "662-364-6167",
            "fax_number": "662-200-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARGO JONES",
        "first_name": "CAMILLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41958",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "14553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cruger, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.