1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Pharmacist
  6. NPI Profile

DR. BRANDON DETERDING PHARM.D.
NPI 1063795300
Pharmacist in Southaven, MS

Active since September 22, 2011
1065 STATELINE RD W, SOUTHAVEN, MS 38671(662) 393-8527 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon Deterding Pharm.d. NPPES

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

DR. BRANDON DETERDING PHARM.D. (NPI 1063795300) is an individual pharmacist in Southaven, Mississippi, licensed in Mississippi (E-010224) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1063795300
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. BRANDON DETERDINGCredential: PHARM.D.
Location Address1065 STATELINE RD WSouthaven, MS 38671-1425
Mailing Address1065 Stateline Rd WSouthaven, MS 38671-1425 · (662) 393-8527
Phone(662) 393-8527
Sole ProprietorNo
Enumeration DateSeptember 22, 2011
✔ NPI 1063795300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MS · E-010224
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1065 STATELINE RD W, Southaven, MS 38671
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

DR. NIMESH MAGANBHAI PATEL PHARM D
Pharmacist
1065 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-8527
DR. TRENISE SARTIN PHARMD
Pharmacist
1065 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-8527
WALGREEN CO
Pharmacy
1065 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-8527

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 Brandon Deterding's NPI number?

The NPI number for Brandon Deterding is 1063795300. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Brandon Deterding located?

Brandon Deterding practices at 1065 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 393-8527.

What is Brandon Deterding's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Brandon Deterding was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.