Active NPI
Kellie Crowder, PHARM.D.
- Pharmacist
- Lucedale, MS
National Provider Identifier
1992551527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-09643
- Practice address
- 92 Ratliff St
Lucedale, MS 39452-6537 - Phone
- (601) 673-6383
- Fax
- (601) 673-6384
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 | T-09643 | MS | Primary |
Addresses
Primary practice location
92 Ratliff St
Lucedale, MS 39452-6537
Mailing address
92 Ratliff St
Lucedale, MS 39452-6537
Phone (601) 673-6383
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 |
|---|---|---|---|
| T-09643 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1992551527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 RATLIFF ST",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526537",
"telephone_number": "601-673-6383",
"fax_number": "601-673-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 RATLIFF ST",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526537",
"telephone_number": "601-673-6383",
"fax_number": "601-673-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "KELLIE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-09643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lucedale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.