Active NPI
Ronald Eugene Beasley, RPH
- Health Service Clinic/Center
- Natchez, MS
National Provider Identifier
1710260807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- E-06726
- Practice address
- 505 Highway 61 N
Natchez, MS 39120-8440 - Phone
- (601) 446-7167
- Fax
- (601) 442-4050
- NPI assigned
- Sep 24, 2011
- Last updated
- Sep 24, 2011
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | E-06726 | MS | Primary |
Addresses
Primary practice location
505 Highway 61 N
Natchez, MS 39120-8440
Mailing address
44 Melanie Rd
Natchez, MS 39120-9021
Phone (601) 446-8459
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 |
|---|---|---|---|
| E-06726 | MS | MD | Health Service Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1710260807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MELANIE RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391209021",
"telephone_number": "601-446-8459",
"fax_number": "601-442-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 HIGHWAY 61 N",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391208440",
"telephone_number": "601-446-7167",
"fax_number": "601-442-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "RONALD",
"middle_name": "EUGENE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MS",
"license": "E-06726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.