Active NPI
Elizabeth Hearn
- Pharmacist
- Jackson, MS
National Provider Identifier
1770130650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-16047
- Practice address
- 1345 Simwood PL
Jackson, MS 39211-6352 - Phone
- (662) 292-3279
- NPI assigned
- Aug 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-16047 | MS | Primary |
Addresses
Primary practice location
1345 Simwood PL
Jackson, MS 39211-6352
Mailing address
1345 Simwood PL
Jackson, MS 39211-6352
Phone (662) 292-3279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16047 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1770130650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 SIMWOOD PL",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116352",
"telephone_number": "662-292-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 SIMWOOD PL",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116352",
"telephone_number": "662-292-3279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-24",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-16047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
- Healthy Path Doc, LLC
- Healthy You Chiropractic and Rehabilitation Center
- Healthyconnect of Mississippi PLLC
- Healthyconnect Primary Care of Mississippi LLC
- Mary Elizabeth Heard, DNP, CRNA
- Rachel P Hearst, N.P.
- Heart Associates of Central Ms
- Heart of Hospice, LLC
- Heart to Heart Holistic Healthcare Services
- Hearts & Minds LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.