Individual provider Active NPI

David Andrew Dabbs, PHARMD

  • Pharmacist
  • Eupora, MS
National Provider Identifier
1740659580
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-09791 Issued in MS
Practice address
1536 Veterans Memorial Blvd
Eupora, MS 39744-2001
Phone
(662) 258-4422
Fax
(662) 258-4425
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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-09791 MS Primary

Addresses

Primary practice location

1536 Veterans Memorial Blvd
Eupora, MS 39744-2001

Mailing address

1536 Veterans Memorial Blvd
Eupora, MS 39744-2001
Phone (662) 258-4422

Other identifiers 1

IdentifierTypeStateIssuer
E-09791OtherMSPHARMACY LICENSE

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-09791MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dabbs Family Pharmacy LLC Current Accepting new patients

Locations

1536 Veterans Memorial Blvd
Eupora, MS 39744
Phone (662) 258-4422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1740659580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442001",
            "telephone_number": "662-258-4422",
            "fax_number": "662-258-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442001",
            "telephone_number": "662-258-4422",
            "fax_number": "662-258-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "E-09791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eupora, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.