NPIMap

Individual provider Active NPI

Ryan Parkerson

  • Pharmacist
  • Olive Branch, MS
National Provider Identifier
1730867649
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-101180 Issued in MS
Practice address
7030 Hacks Cross Rd
Olive Branch, MS 38654-4471
Phone
(662) 890-8644
Fax
(662) 890-8646
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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-101180 MS Primary

Addresses

Primary practice location

7030 Hacks Cross Rd
Olive Branch, MS 38654-4471

Mailing address

7030 Hacks Cross Rd
Olive Branch, MS 38654-4471
Phone (662) 890-8644

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

State licenses

LicenseStateTypeSpecialty
E-101180MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 16, 2023 Accepting new patients
Walgreen Co PastSince Jul 16, 2023 Accepting new patients

Locations

7030 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 890-8644

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1730867649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 HACKS CROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544471",
            "telephone_number": "662-890-8644",
            "fax_number": "662-890-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 HACKS CROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544471",
            "telephone_number": "662-890-8644",
            "fax_number": "662-890-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKERSON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-101180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.