Individual provider Active NPI

Harry Lewis Speights Jr., PHARMACIST

  • Pharmacist
  • Columbia, MS
National Provider Identifier
1972020204
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-6974 Issued in MS
Practice address
Hwy 13 N. 1110 Suite 5
Columbia, MS 39429
Phone
(601) 736-3394
Fax
(601) 736-3499
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-6974 MS Primary

Addresses

Primary practice location

Hwy 13 N. 1110 Suite 5
Columbia, MS 39429

Mailing address

Hwy 13 North
1110 Suite 5
Columbia, MS 39429
Phone (601) 736-3394

Other identifiers 1

IdentifierTypeStateIssuer
05532313MedicaidMS

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

State licenses

LicenseStateTypeSpecialty
E-6974MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1972020204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 13 NORTH",
            "address_2": "1110 SUITE 5",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "39429",
            "telephone_number": "601-736-3394",
            "fax_number": "601-736-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 13 N. 1110 SUITE 5",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "39429",
            "telephone_number": "601-736-3394",
            "fax_number": "601-736-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIGHTS",
        "first_name": "HARRY",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-6974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05532313",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.