Samuel Justin Rhodes

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-09697 Issued in MS

Practice address

114 Brooks Street
Pelahatchie, MS 39145-3914

Phone

(601) 854-8252

Fax

(601) 854-6057

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Rhodes & Robby Drugs Inc

  • Pharmacist
  • Pelahatchie, MS
  • NPI 1275669517
  NPD

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1912596784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391450249",
            "telephone_number": "769-232-2827",
            "fax_number": "601-854-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROOKS STREET",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391453914",
            "telephone_number": "601-854-8252",
            "fax_number": "601-854-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SAMUEL",
        "middle_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kameron
• Mississippi Dental Center of Pelahatchie
• Jerry Louis Nash, CFNP
• Pelahatchie Family Medicine
• Rhodes & Robby Drugs Inc
• S&P Ventures LLC (East Rankin Family Dental)
• Nicholas Cody Shaw, ATC
• Chrysanne Shelton
• Alicia Marie Slater, LMFT
• Micah Brooke Woods Smith, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.