1407249923 NPI number — RAMON M NAPIER, DMD

Table of content: (NPI 1407249923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407249923 NPI number — RAMON M NAPIER, DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMON M NAPIER, DMD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WELLNESS PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407249923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PETAL
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39465-0135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-620-3146
Provider Business Mailing Address Fax Number:
601-722-3782

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PETAL
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39465-2202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-722-3782
Provider Business Practice Location Address Fax Number:
601-722-3782
Provider Enumeration Date:
03/09/2015

Additional Information

Authorized Official

Authorized Official Last Name:
NAPIER
Authorized Official First Name:
RAMON
Authorized Official Middle Name:
Authorized Official Title or Position:
PIC
Authorized Official Telephone Number:
601-620-3146

Provider Taxonomy Codes

  • Taxonomy code: 3336S0011X , with the licence number:  14225/2.2 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2150595 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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