Alexandra Jane Pruitt

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-102158 Issued in MS

Practice address

113 Bo Bo Dr
Crystal Springs, MS 39059-2741

Phone

(601) 892-4121

NPI assigned

Oct 6, 2025

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

State licenses

Practice roles

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.

• City Drug, LLC

  • Community/Retail Pharmacy
  • Crystal Springs, MS
  • NPI 1225504269
  NPD (past)
• City Drugs of Crystal Springs, Inc.

  • Community/Retail Pharmacy
  • Crystal Springs, MS
  • NPI 1205802980
  NPD (past)

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1972477578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEXFORD CT",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478079",
            "telephone_number": "601-813-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BO BO DR",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592741",
            "telephone_number": "601-892-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ALEXANDRA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-102158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Arms Children'S Clinic LLC,
• Leslie Ann Painter
• Prestige Tech
• Prestige Tech
• Promed Medical Supply
• Raising Forever Homes
• Terri Lynn Rielley, REGISTERED NURSE
• Robert a. Gannaway, M.D., PLLC
• Robert Hall Rone, DMD
• Jessica Kacie Selman, M.S., CCC-SLP

• Pharmacist in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Pharmacist in Mississippi

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

Verify at the official NPI Registry.