Active NPI
Freddie Carter, RPH
- Pharmacist
- Decatur, MS
National Provider Identifier
1740600535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E6219
- Practice address
- 2509 Decatur Stratton Rd
Decatur, MS 39327-9458 - Phone
- (601) 604-3815
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E6219 | MS | Primary |
| Pharmacist | 183500000X | 28005 | TX |
Addresses
Primary practice location
2509 Decatur Stratton Rd
Decatur, MS 39327-9458
Mailing address
2509 Decatur Stratton Rd
Decatur, MS 39327-9458
Phone (601) 604-3815
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28005 | TX | MD | General Practice Dentistry |
| E6219 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1740600535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 DECATUR STRATTON RD",
"city": "DECATUR",
"state": "MS",
"postal_code": "393279458",
"telephone_number": "601-604-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 DECATUR STRATTON RD",
"city": "DECATUR",
"state": "MS",
"postal_code": "393279458",
"telephone_number": "601-604-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "FREDDIE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E6219",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.