Active NPI
Lavarshia Newsome-Pittman, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Tylertown, MS
National Provider Identifier
1891212221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- E-08988
- Practice address
- 3000 Plaza Drive
Tylertown, MS 39667 - Phone
- (601) 876-2152
- NPI assigned
- Aug 25, 2017
- Last updated
- Aug 25, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08988 | MS | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-08988 | MS | Primary |
Addresses
Primary practice location
3000 Plaza Drive
Tylertown, MS 39667
Mailing address
3000 Plaza Drive
Tylertown, MS 39667
Phone (601) 876-2152
Other names 1
- Lavarshia Newsome
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08988 | MS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1891212221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 PLAZA DRIVE",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "39667",
"telephone_number": "601-876-2152",
"fax_number": "601-876-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 PLAZA DRIVE",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "39667",
"telephone_number": "601-876-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME-PITTMAN",
"first_name": "LAVARSHIA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08988",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MS",
"license": "E-08988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAVARSHIA",
"last_name": "NEWSOME",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tylertown, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.