Janna Breland
Individual provider Active NPI Community/Retail Pharmacy · Clinton, MS
NPI 1770122491 · NPPES record last updated Dec 27, 2019
Key facts
- NPI
- 1770122491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Practice address
- 107 Highway 80 E
Clinton, MS 39056-4738 - Phone
- (601) 925-6345
- NPI assigned
- Dec 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
107 Highway 80 E
Clinton, MS 39056-4738
Mailing address
107 Highway 80 E
Clinton, MS 39056-4738
Other providers in Clinton, MS
- Blake Bostick
- Boujee Bodies Wellness Spa, LLC
- Kimberly Charmaine Branson Williams
- Elizabeth Grace Braswell
- Angela Bratton
- Allisha Brent-Rhodes
- Jazzmen Briscoe
- Bria Broussard
- Cecile Brown Davis
- Caitlin E Brown
All providers in Clinton, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.