Donnie Joe Scrivner, RPH
Individual provider Active NPI Pharmacist · Collinsville, MS
NPI 1902154164 · NPPES record last updated Aug 20, 2012
Key facts
- NPI
- 1902154164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E6580 (MS)
- Practice address
- 9155 Highway 19 N
Collinsville, MS 39325-9330 - Phone
- (601) 626-8338
- Fax
- (601) 626-8082
- NPI assigned
- Aug 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6580 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E6580 | MS | Yes |
Addresses
Primary practice location
9155 Highway 19 N
Collinsville, MS 39325-9330
Mailing address
9155 Highway 19 N
Collinsville, MS 39325-9330
Phone (601) 626-8338
Other providers in Collinsville, MS
- Kid'S Clinic, PLLC
- Laboratory Corporation of America Holdings
- Laird Hospital, Inc
- Miquell McGlothin
- Jhakiyhai McKenzie
- Lora Amber Shepherd
- Ashley Brooke Singleton
- Anna Victoria Stewart
- Chandra R Sumlin
- Kristen Thames
All providers in Collinsville, 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 Aug 20, 2012. 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.