DEEDRA BRACKEEN FONTANA RPH
NPI 1972103455
Pharmacist in Indianola, MS

Active since October 26, 2020
633 HIGHWAY 82 W, INDIANOLA, MS 38751(662) 887-3788 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deedra Brackeen Fontana Rph NPPES

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

DEEDRA BRACKEEN FONTANA RPH (NPI 1972103455) is an individual pharmacist in Indianola, Mississippi, licensed in Mississippi (E-8028) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1972103455
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDEEDRA BRACKEEN FONTANACredential: RPH
Location Address633 HIGHWAY 82 WIndianola, MS 38751-2078
Mailing Address45 Gower LnLeland, MS 38756-9480 · (662) 822-4654
Sole ProprietorYes
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
NPI 1972103455 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-8028
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.

633 HIGHWAY 82 W, Indianola, MS 38751

Other Providers at the Same Location NPPES 5

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

Pharmacist
633 HIGHWAY 82 W
INDIANOLA, MS 38751
Pharmacist
633 HIGHWAY 82 W
INDIANOLA, MS 38751
Eyewear Supplier
633 HIGHWAY 82 W
INDIANOLA, MS 38751
Pharmacy (Community/Retail Pharmacy)
633 HIGHWAY 82 W
INDIANOLA, MS 38751
Pharmacist
633 HIGHWAY 82 W
INDIANOLA, MS 38751

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 Deedra Fontana's NPI number?

The NPI number for Deedra Fontana is 1972103455. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Deedra Fontana located?

Deedra Fontana practices at 633 Highway 82 W, Indianola, MS 38751. The listed phone number is (662) 887-3788.

What is Deedra Fontana'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 Deedra Fontana was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.