Stanley Ray Mixon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042208 Issued in AR

Practice address

8549 Highway 17
Winnsboro, LA 71295-5425

Phone

(318) 435-5139

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1710295258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 HIGHWAY 17",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712955425",
            "telephone_number": "318-435-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8549 HIGHWAY 17",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712955425",
            "telephone_number": "318-435-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "STANLEY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "042208",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13610",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "10409",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019726",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-05812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Denise McCain, FNP
• William McCarty, RDN, LDN, CDCES
• Patsy H McClanahan, CNP
• Ashley McFarland, SLP
• Memory Clinic of Louisiana
• Mobile Medicine, LLC
• Michelle Moffitt, RSW
• Monkeys and Moons Pediatric Therapy, LLC
• Sonja Morgan, FNP
• Tammy Morgan, RN-PHN 4

• Pharmacist in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.