MR. CLARENCE LEE MIDDLETON RPH
NPI 1043749070
Pharmacy in Ellisville, MS

Q: What is Clarence Middleton's NPI number?

The NPI number for Clarence Middleton is 1043749070. It was assigned to this individual provider in the NPPES registry on June 4, 2017.

Q: What is Clarence Middleton's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 04, 2017

122 S FRONT ST, ELLISVILLE, MS 39437(601) 477-8587 Get Directions Write a Review

NPPES record last updated: June 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Clarence Lee Middleton Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARENCE LEE MIDDLETON RPH (NPI 1043749070) is an individual pharmacy provider in Ellisville, Mississippi, licensed in Mississippi (T-13037) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1043749070

Entity TypeIndividualMale

Primary Taxonomy333600000X

Provider Legal NameMR. CLARENCE LEE MIDDLETONCredential: RPH

Location Address122 S FRONT STEllisville, MS 39437-3118

Mailing Address202 S Court StEllisville, MS 39437-3112 · (864) 710-2992

Phone(601) 477-8587

Sole ProprietorYes

Enumeration DateJune 4, 2017

✔ NPI 1043749070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MS · T-13037

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

122 S FRONT ST, Ellisville, MS 39437

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKKI R WALTERS

Pharmacy (Community/Retail Pharmacy)

122 S FRONT ST
ELLISVILLE, MS 39437

Jones County (601) 477-8587

NIKKI RED WALTERS

Pharmacist

122 S FRONT ST
ELLISVILLE, MS 39437

Jones County (601) 477-8587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Middleton's NPI number?

The NPI number for Clarence Middleton is 1043749070. It was assigned to this individual provider in the NPPES registry on June 4, 2017.

Where is Clarence Middleton located?

Clarence Middleton practices at 122 S Front St, Ellisville, MS 39437. The listed phone number is (601) 477-8587.

What is Clarence Middleton's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Clarence Middleton was last updated on June 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.