DOUGLAS EDWARD GARDNER RPH
NPI 1356637524
Pharmacist in Southaven, MS

Active since June 25, 2011
465 STATELINE RD W, SOUTHAVEN, MS 38671(662) 393-3426(662) 393-1605 Get Directions Write a Review

NPPES record last updated: June 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Edward Gardner Rph NPPES

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

DOUGLAS EDWARD GARDNER RPH (NPI 1356637524) is an individual pharmacist in Southaven, Mississippi, licensed in Mississippi (E-6112) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1356637524
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDOUGLAS EDWARD GARDNERCredential: RPH
Location Address465 STATELINE RD WSouthaven, MS 38671-1611
Mailing Address465 Stateline Rd WSouthaven, MS 38671-1611 · (662) 393-3426 · Fax (662) 393-1605
Fax(662) 393-1605
Sole ProprietorYes
Enumeration DateJune 25, 2011
NPI 1356637524 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-6112
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.
465 STATELINE RD W, Southaven, MS 38671

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.

Pharmacist
465 STATELINE RD W
SOUTHAVEN, MS 38671
Pharmacy (Community/Retail Pharmacy)
465 STATELINE RD W
SOUTHAVEN, MS 38671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
465 STATELINE RD W
SOUTHAVEN, MS 38671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
465 STATELINE RD W
SOUTHAVEN, MS 38671

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 Douglas Gardner's NPI number?

The NPI number for Douglas Gardner is 1356637524. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Douglas Gardner located?

Douglas Gardner practices at 465 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 393-3426.

What is Douglas Gardner'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 Douglas Gardner was last updated on June 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.