Active NPI
Ginger G Tennison, PHARMD
- Pharmacist
- Booneville, MS
National Provider Identifier
1962200618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-08641
- Practice address
- 206 N 2ND St
Booneville, MS 38829-2702 - Phone
- (662) 728-1951
- Fax
- (662) 728-1873
- NPI assigned
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08641 | MS | Primary |
Addresses
Primary practice location
206 N 2ND St
Booneville, MS 38829-2702
Mailing address
206 N 2ND St
Booneville, MS 38829-2702
Phone (662) 728-1951
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-08641 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Booneville Community Pharmacy of Ms Inc. | Current | Accepting new patients | |
| Booneville Community Pharmacy of Msinc | Past | Accepting new patients |
Locations
206 N 2nd St
Booneville, MS 38829
Phone (662) 728-1951
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.
-
- Long Term Care Pharmacy
- Booneville, MS
- NPI 1972150472
-
- Community/Retail Pharmacy
- Booneville, MS
- NPI 1679651186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1962200618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2ND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388292702",
"telephone_number": "662-728-1951",
"fax_number": "662-728-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N 2ND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388292702",
"telephone_number": "662-728-1951",
"fax_number": "662-728-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNISON",
"first_name": "GINGER",
"middle_name": "G",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.