Andrea Ewing Overstreet, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

T09130 Issued in MS

Practice address

10511 Diberville Blvd
Diberville, MS 39540-2403

Phone

(228) 392-3905

Fax

(228) 392-3905

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740389824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BENT OAKS BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312414",
            "telephone_number": "228-392-3905",
            "fax_number": "228-392-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 DIBERVILLE BLVD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402403",
            "telephone_number": "228-392-3905",
            "fax_number": "228-392-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "ANDREA",
        "middle_name": "EWING",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T09130",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330474",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thien-Trieu Hoang Nguyen, DMD
• Trung Nguyen
• Quochuy L Nhan, PHARMD.
• Oakview Counseling LLC
• One Solution Cerebral Wellness
• Peaches Palmer, NP
• Pals Pediatric Therapy, PLLC
• Elissa Parker, RBT
• Jeremy Wayne Parker, D.M.D.
• Taylor Morgan Parrish

• Pharmacist in Diberville, MS
• Providers in Diberville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.