Autumn Gurry, PHARMD
Individual provider Active NPI Pharmacist · Philadelphia, MS
NPI 1881036499 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1881036499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-13034 (MS)
- Practice address
- 1005 W Beacon St
Philadelphia, MS 39350-3203 - Phone
- (601) 389-1119
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| E-13034 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-13034 | MS | Yes |
Addresses
Primary practice location
1005 W Beacon St
Philadelphia, MS 39350-3203
Mailing address
253 Byrd Ave N
Philadelphia, MS 39350-3042
Phone (601) 562-9198
Other providers in Philadelphia, MS
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- Julie Gaines Joiner
- Adrianna Michelle Gardner
- Kathy Gray
- Donald Grant Guild
- David Wesley Haggard
- Hancock Chiropractic Clinic, Inc.
- Scott Anthony Hancock
- Olivia P Heard
- Heartfelt Hospice, Inc.
All providers in Philadelphia, MS · Pharmacist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. 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.