Active NPI
Deborah Etheridge Waldrop, RPH
- Pharmacist
- Madison, MS
National Provider Identifier
1861667818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E6033
- Practice address
- 1100 Hwy 51 North
Madison, MS 39110-6600 - Phone
- (601) 853-1611
- Fax
- (601) 853-7408
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- 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 | E6033 | MS | Primary |
Addresses
Primary practice location
1100 Hwy 51 North
Madison, MS 39110-6600
Mailing address
1100 Hwy 51 North
Madison, MS 39110-9625
Phone (601) 853-1611
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6033 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1861667818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HWY 51 NORTH",
"city": "MADISON",
"state": "MS",
"postal_code": "391109625",
"telephone_number": "601-853-1611",
"fax_number": "601-853-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HWY 51 NORTH",
"city": "MADISON",
"state": "MS",
"postal_code": "391106600",
"telephone_number": "601-853-1611",
"fax_number": "601-853-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "DEBORAH",
"middle_name": "ETHERIDGE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E6033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
- Gina M. Wack, MS,RD
- Christine Rankin Waggoner, FNP-C
- Mamie Ruth Waites
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2720)
- Wal-Mart Stores East, LP, (Vision Center 30-2720)
- Walgreen Co (Walgreens #15250)
- Walgreen Co (Walgreens #11111)
- Walgreen Co (Rite Aid)
- Micah R. Walker, M.D.
- Patrick Wade Walker, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.