Wells Lott Village Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

0156001.1 Issued in MS

Legal business name

WELLS LOTT VILLAGE PHARMACY

Practice address

1442 S Main St
Greenville, MS 38701-7026

Phone

(662) 335-1173

Fax

(662) 335-0731

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lowell G Lott

Title

President

Phone

(622) 335-1173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952471492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017026",
            "telephone_number": "662-335-1173",
            "fax_number": "662-335-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017026",
            "telephone_number": "662-335-1173",
            "fax_number": "662-335-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS LOTT VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "622-335-1173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "0156001.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034860",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Greenville, MS
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• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.