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JAMES EDDLEMON
NPI 1720626161
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Southaven, MS

Active since December 17, 2019
465 STATELINE RD W, SOUTHAVEN, MS 38671(662) 393-3426 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Dec 17, 2019 (2 updates tracked since 2019).

About James Eddlemon NPPES

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

JAMES EDDLEMON (NPI 1720626161) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Southaven, Mississippi, licensed in Mississippi (07251) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1720626161
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJAMES EDDLEMON
Location Address465 STATELINE RD WSouthaven, MS 38671-1611
Mailing Address8814 Beatline RdTunica, MS 38676-9603 · (901) 568-1102
Phone(662) 393-3426
Sole ProprietorYes
Enumeration DateDecember 17, 2019
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1720626161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MS · 07251
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 07251 (MS)
465 STATELINE RD W, Southaven, MS 38671
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Other Identifiers 1

Medicaid1720626161MS

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.

MS. SHAULA M HAILEY RPH
Pharmacist
465 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-3426
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
465 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-3426
DOUGLAS EDWARD GARDNER RPH
Pharmacist
465 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-3426
CALLIE MARIE NEWMAN RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
465 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 393-3426

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 James Eddlemon's NPI number?

The NPI number for James Eddlemon is 1720626161. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is James Eddlemon located?

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

What is James Eddlemon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for James Eddlemon was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.