Individual provider Active NPI

Stephanie Redd, PHARMD

  • Pharmacist
  • Senatobia, MS
National Provider Identifier
1942762265
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E09267 Issued in MS
Practice address
102 Northwest PLZ
Senatobia, MS 38668-1729
Phone
(662) 947-4073
Fax
(662) 947-4079
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E09267 MS Primary

Addresses

Primary practice location

102 Northwest PLZ
Senatobia, MS 38668-1729

Mailing address

102 Northwest PLZ
Senatobia, MS 38668-1729
Phone (662) 947-4073

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

LicenseStateTypeSpecialty
E09267MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Pharmacy, LLC Current Accepting new patients
Getwell Pharmacy of Tennessee, Inc. Past Accepting new patients

Locations

102 Northwest Plz
Senatobia, MS 38668
Phone (662) 612-6225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1942762265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NORTHWEST PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681729",
            "telephone_number": "662-947-4073",
            "fax_number": "662-947-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTHWEST PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681729",
            "telephone_number": "662-947-4073",
            "fax_number": "662-947-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "STEPHANIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E09267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.