Active NPI
Benita Pringle Ervin
- Pharmacist
- Jackson, MS
National Provider Identifier
1861743940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E09024
- Practice address
- 1497 Canton Mart Rd
Jackson, MS 39211 - Phone
- (601) 956-2421
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | E09024 | MS | Primary |
Addresses
Primary practice location
1497 Canton Mart Rd
Jackson, MS 39211
Mailing address
204 Flowers Lane
Brandon, MS 39047
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 |
|---|---|---|---|
| E09024 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1861743940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 FLOWERS LANE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 CANTON MART RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "39211",
"telephone_number": "601-956-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINGLE ERVIN",
"first_name": "BENITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E09024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
- Primary and Behavioral Healthcare Services, PA
- Linda Dillon Primous, LMSW
- Allison Leigh Princiotta, CPNP-PC
- Jonathan Princiotta
- Isabelle Ann Prine
- Priscilla Pearson, LCSW, Inc.
- Racheal Marie Pritchett, PMHNP-BC
- Gwendolyn Proctor, CMHT
- Professional Footcare Solutions LLC
- Professional Quality Healthcare (Professional Quality Hyealthcare LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.