Kristin Lynne McDonald, PHARM.D.
Individual provider Active NPI Pharmacist · Decatur, MS
NPI 1811515927 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1811515927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-010395 (MS)
- Practice address
- 82 Deerfield LN
Decatur, MS 39327-8977 - Phone
- (601) 701-4975
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16094 | AL | MD | Pharmacist |
| E-010395 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16094 | AL | |
| Pharmacist | 183500000X | E-010395 | MS | Yes |
Addresses
Primary practice location
82 Deerfield LN
Decatur, MS 39327-8977
Mailing address
82 Deerfield LN
Decatur, MS 39327-8977
Phone (601) 701-4975
Other providers in Decatur, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. 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.