Healthcare Provider Details

I. General information

NPI: 1821366279
Provider Name (Legal Business Name): JONETHAN MICHAEL MORRIS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 S THOMAS ST STE B
TUPELO MS
38801-5328
US

IV. Provider business mailing address

146 S THOMAS ST STE B
TUPELO MS
38801-5328
US

V. Phone/Fax

Practice location:
  • Phone: 662-260-3366
  • Fax: 662-269-1568
Mailing address:
  • Phone: 662-260-3366
  • Fax: 662-269-1568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP11723
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: