Danielle Clayton, PHARMD

Individual provider Active NPI Pharmacist · Meridian, MS

NPI 1750985362 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1750985362
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E-010250 (MS)
Practice address
2401 N Hills St
Meridian, MS 39305-2636
Phone
(601) 482-3141
Fax
(601) 483-8994
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-010250MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi CVS Pharmacy LLC Past
since Nov 29, 2020
Accepting new patients
Mississippi CVS Pharmacy, L.L.C. Past
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-010250 MS Yes

Addresses

Primary practice location

2401 N Hills St
Meridian, MS 39305-2636

Mailing address

2401 N Hills St
Meridian, MS 39305-2636
Phone (601) 482-3141

Other providers in Meridian, MS

All providers in Meridian, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.