What is Brandon Deterding's NPI number?

Brandon Deterding's National Provider Identifier (NPI) is 1063795300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brandon Deterding's specialty?

Brandon Deterding is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Brandon Deterding located?

Brandon Deterding's practice location on file with NPPES is 1065 Stateline Rd W, Southaven, MS 38671-1425.

What is Brandon Deterding's phone number?

The practice phone number listed in the NPPES registry for Brandon Deterding is (662) 393-8527.

Is Brandon Deterding's NPI active?

Yes — Brandon Deterding's NPI (1063795300) is active in the NPPES registry as of the last update on 2011-09-22.

IndividualActive

Brandon Deterding, PHARM.D.

NPI 1063795300 · Pharmacist · Southaven, MS

Brandon Deterding, PHARM.D. is a Pharmacist provider in Southaven, MS (NPI 1063795300).

Provider details

NPI number: 1063795300
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Male
Sole proprietor: No
License: E-010224 (MS)

Specialties & taxonomies

PharmacistPrimary183500000XLicense E-010224 (MS)
Pharmacy Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1065 Stateline Rd W

Southaven, MS 38671-1425

Phone: (662) 393-8527

Street-level locationGet directions

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Mailing address