DEWITT DIVINITY RPH
NPI 1164528477
Pharmacist in Jackson, MS

Active since September 15, 2006
1500 E WOODROW WILSON DR, JACKSON, MS 39216(601) 364-1555(601) 364-1578 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dewitt Divinity Rph NPPES

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

DEWITT DIVINITY RPH (NPI 1164528477) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (T-09554) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1164528477
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEWITT DIVINITYCredential: RPH
Location Address1500 E WOODROW WILSON DRJackson, MS 39216-5199
Mailing Address1500 E Woodrow Wilson DrJackson, MS 39216-5199 · (601) 364-1555 · Fax (601) 364-1578
Fax(601) 364-1578
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164528477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MS · T-09554 Licensed in TX · 39763
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.
1500 E WOODROW WILSON DR, Jackson, MS 39216

Other Providers at the Same Location NPPES 4

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

Pathology (Anatomic Pathology & Clinical Pathology)
1500 E WOODROW WILSON DR
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON DR
JACKSON, MS 39216
Occupational Therapist
1500 E WOODROW WILSON DR, HUD-VASH
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON DR, GV SONNY MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216

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 Dewitt Divinity's NPI number?

The NPI number for Dewitt Divinity is 1164528477. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Dewitt Divinity located?

Dewitt Divinity practices at 1500 E Woodrow Wilson Dr, Jackson, MS 39216. The listed phone number is (601) 364-1555.

What is Dewitt Divinity'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 Dewitt Divinity was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.