Active NPI
Lynwood Hightower
- Pharmacist
- Taylorsville, MS
National Provider Identifier
1780101402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-07597
- Practice address
- 402 Pine St
Taylorsville, MS 39168-5528 - Phone
- (601) 785-6812
- NPI assigned
- Aug 23, 2017
- Last updated
- Aug 23, 2017
- Sex
- Male
- 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-07597 | MS | Primary |
Addresses
Primary practice location
402 Pine St
Taylorsville, MS 39168-5528
Mailing address
1104 Glenway Dr
Laurel, MS 39440-1124
Phone (601) 507-7956
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-07597 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
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.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503446400000",
"number": "1780101402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 GLENWAY DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401124",
"telephone_number": "601-507-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 PINE ST",
"city": "TAYLORSVILLE",
"state": "MS",
"postal_code": "391685528",
"telephone_number": "601-785-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "LYNWOOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-07597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, MS
- Family Health Center, Inc (Family Health Center/Taylorsville)
- Chante Nicole Ferguson
- Freds Xpress (Freds Stores of Tennessee Inc)
- John R. Harper, MD
- Hattiesburg Clinic PA (Taylorsville Medical Clinic)
- Amanda Jacobs, D.M.D.
- JFMC Taylorsville, LLC
- John R. Harper,MD, PA
- Vera Denise Kennedy-Miller, LMT#392 MASSAGE THEP
- Magee Benevolent Association (John R Harper, MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.