Patricia M Olive, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-08981 Issued in MS

Practice address

801 Highway 11 S
Picayune, MS 39466-5382

Phone

(601) 798-4771

Fax

(601) 798-6130

NPI assigned

Nov 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Patricia M Bacon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811068919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WINDANCE DR",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267946",
            "telephone_number": "601-799-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 11 S",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665382",
            "telephone_number": "601-798-4771",
            "fax_number": "601-798-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BACON",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ochsner Mississippi, LLC (Pelican Urgent Care - MS)
• Jennifer Elaine Petitto Olivier, MD
• Open Minds Community Improvement Center
• Nanci W Parish, FNP-BC
• Pathway Diagnostics LLC
• Pathways to Behavioral Support LLC

• Pharmacist in Picayune, MS
• Providers in Picayune, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.