Active NPI
Chasity Willis
- Pharmacist
- Byram, MS
National Provider Identifier
1992684740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-102023
- Practice address
- 5780 Terry Rd
Byram, MS 39272-9745 - Phone
- (601) 346-2553
- NPI assigned
- Aug 27, 2025
- 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 | E-102023 | MS | Primary |
Addresses
Primary practice location
5780 Terry Rd
Byram, MS 39272-9745
Mailing address
212 Woodlake Dr
Brandon, MS 39047-6003
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-102023 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5780 Terry Rd
Byram, MS 39272
Phone (601) 346-2553
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.
-
- Pharmacy
- Byram, MS
- NPI 1689850968
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1992684740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 WOODLAKE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5780 TERRY RD",
"city": "BYRAM",
"state": "MS",
"postal_code": "392729745",
"telephone_number": "601-346-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "CHASITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-102023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byram, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.