Active NPI
Winn Immunization Services
- Pharmacist
- Natchez, MS
National Provider Identifier
1740599091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0414901
- Legal business name
- WINN IMMUNIZATION SERVICES
- Practice address
- 149 Pilgrim Rd
Natchez, MS 39120-2650 - Phone
- (601) 442-4527
- Fax
- (601) 442-4490
- NPI assigned
- Oct 5, 2010
- Organization subpart
- Yes
- Parent organization
- WINN ENTERPRISES P.C.D., INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Louis Winn Sr., R.PH.
- Title
- President
- Phone
- (601) 442-4527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0414901 | MS | Primary |
Addresses
Primary practice location
149 Pilgrim Rd
Natchez, MS 39120-2650
Mailing address
149 Pilgrim Rd
Natchez, MS 39120-2650
Phone (601) 442-4527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440611 | Medicaid | MS |
Other names 1
- Winn Pharmacy
National Provider Directory
National Provider Directory- Part of
- Winn Immunization Services
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Natchez, MS
- NPI 1205144482
-
- Pharmacist
- Natchez, MS
- NPI 1942518089
-
- Pharmacist
- Natchez, MS
- NPI 1134437270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286236800000",
"number": "1740599091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 PILGRIM RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391202650",
"telephone_number": "601-442-4527",
"fax_number": "601-442-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 PILGRIM RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391202650",
"telephone_number": "601-442-4527",
"fax_number": "601-442-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINN IMMUNIZATION SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WINN ENTERPRISES P.C.D., INC.",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A",
"authorized_official_last_name": "WINN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-442-4527",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MS",
"license": "0414901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440611",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Winn Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 5, 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.