Kristin Miller Tawater, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-14373 Issued in MS

Practice address

2939 Jefferson St
Macon, MS 39341-2274

Phone

(662) 726-5143

Fax

(662) 726-5183

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By 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

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.

• Macon City Drug Store, Inc.

  dba City Drug Store

  • Durable Medical Equipment & Medical Supplies
  • Macon, MS
  • NPI 1912104415
  NPD
• Macon City Drug Store, Inc.

  dba City Drug Store

  • Community/Retail Pharmacy
  • Macon, MS
  • NPI 1346273588
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1952922296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E BROAD ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397733129",
            "telephone_number": "662-436-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 JEFFERSON ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412274",
            "telephone_number": "662-726-5143",
            "fax_number": "662-726-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWATER",
        "first_name": "KRISTIN",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-14373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Gregory Spurgeon, RPH
• Lakisha Stevenson
• Kelli Stewart, FNP-BC
• Tashana Stovall
• Brittnay Tate
• Trinity Mobile Health Clinic
• Trinity Specialty Care Services, Inc (Trinity Health Care)
• Heather Melissa Vanpelt, DMD
• Mary Weatherby
• Brooke Wells

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.