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1093083115 NPI number — MELINDA KAY JONES RPH

NPI Number: 1093083115
Health Care Provider/Practitioner: MELINDA KAY JONES RPH

Information about “1093083115” NPI (MELINDA KAY JONES RPH) exists in 1093083115 in HTML format HTML  |  1093083115 in plain Text format TXT  |  1093083115 in PDF (Portable Document Format) PDF  |  1093083115 in an XML format XML  formats.

NPI Number : 1093083115 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093083115",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES",
    "FirstName": "MELINDA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "433 CEDAR ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PETAL",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39465-4436",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-447-6567",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "509 HIGHWAY 589",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PURVIS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39475-4114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-794-2583",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/03/2011",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "E-08763",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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