Megan Sistrunk

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-101205 Issued in MS

Practice address

616 Main St
Woodville, MS 39669-9706

Phone

(601) 888-3333

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Field Memorial Community Hospital

  dba FHS Express Pharmacy

  • Community/Retail Pharmacy
  • Woodville, MS
  • NPI 1053988816
  NPD
• Canovas City Drug Store

  dba City Drug Store

  • Community/Retail Pharmacy
  • Woodville, MS
  • NPI 1831231851
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1821821661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8066 OLD HIGHWAY 24",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396313874",
            "telephone_number": "318-658-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MAIN ST",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396699706",
            "telephone_number": "601-888-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTRUNK",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.024961",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-101205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Pharmaceutical Services, LLC
• Premier Physical Therapy, LLC
• Alicia Freeman Randall, LCSW
• Shelley Walters Redhead, PHARMACIST
• Pradeep Kumar Selvaraj, M.D
• Roslyn Jill Smith, PHARMD
• Lori K Taylor, OT
• Lashonda Tolliver
• Total Medical Supply, LLC
• Woodville Dental Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.