Tywanda Deone Bingham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-09930 Issued in MS

Practice address

914 N State St
Jackson, MS 39202-2613

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Mississippi CVS Pharmacy LLC

  dba CVS Pharmacy #17144

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1902494214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022613",
            "telephone_number": "601-352-7566",
            "fax_number": "601-352-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022613",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022613",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "TYWANDA",
        "middle_name": "DEONE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Christopher Billingsley
• Robert Stevens Billingsley, MD
• Christopher Ryan Billsby, D.O.
• Billye B. Currie, LLC
• Donna Hickman Bingham, PHARM.D.
• Bio-Medical Applications of Mississippi, Inc. (Bma Jackson)
• Bio-Medical Applications of Mississippi, Inc. (Fresenius Medical Care Mid Mississippi)
• Bio-Medical Applications of Mississippi, Inc. (Fresenius Kidney Care North Jackson)
• Bio-Medical Applications of Mississippi, Inc. (Bma Southwest Jackson)
• Biochemical Genetics Lab

• Pharmacist in Jackson, MS
• Providers in Jackson, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.