Individual provider Active NPI

Deborah Torres Ratliff

  • Pharmacist
  • Hazlehurst, MS
National Provider Identifier
1770184095
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-14365 Issued in MS
Practice address
527 Lake St
Hazlehurst, MS 39083-2217
Phone
(601) 894-1476
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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-14365 MS Primary

Addresses

Primary practice location

527 Lake St
Hazlehurst, MS 39083-2217

Mailing address

65 Sandalwood TRL NE
Brookhaven, MS 39601-5926
Phone (228) 238-7772

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

LicenseStateTypeSpecialty
E-14365MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1770184095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SANDALWOOD TRL NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396015926",
            "telephone_number": "228-238-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 LAKE ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832217",
            "telephone_number": "601-894-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RATLIFF",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.