Individual provider Active NPI

Chris Elliott, PHARMD

  • Pharmacist
  • Corinth, MS
National Provider Identifier
1730815010
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-010064 Issued in MS
Practice address
1815 E Shiloh Rd
Corinth, MS 38834-3638
Phone
(662) 287-8062
Fax
(662) 287-6429
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-010064 MS Primary

Addresses

Primary practice location

1815 E Shiloh Rd
Corinth, MS 38834-3638

Mailing address

1815 E Shiloh Rd
Corinth, MS 38834-3638
Phone (662) 287-8062

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
E-010064MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gunn Drug Co Inc. Pharmacist CurrentSince Jul 31, 2022 Accepting new patients

Locations

1815 E Shiloh Rd
Corinth, MS 38834
Phone (662) 287-8062

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.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1730815010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343638",
            "telephone_number": "662-287-8062",
            "fax_number": "662-287-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343638",
            "telephone_number": "662-287-8062",
            "fax_number": "662-287-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CHRIS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-010064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.