IndividualActive
Carroll Bruister
NPI 1982122289 · Pharmacist · Ackerman, MS
Provider details
- NPI number
- 1982122289
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E6788 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
222 Mabus
Ackerman, MS 39735
Phone: (662) 285-6039
Approximate (ZIP-level) locationGet directions
Mailing address
11850 Ms Hwy 15
Ackerman, MS 39735
Registry dates
- Enumerated
- 2017-09-07
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.