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Active NPI 1538771894 Individual Practitioner Male Practitioner

Thirston Ivory Divinity

Pharmacist • Clinton, MS

Professional Overview & Biography Verified Profile Summary

Thirston Divinity is a registered healthcare professional specializing in Pharmacist in Clinton, MS. Practice services are available at 204 HIGHWAY 80 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Highway 80 E

Clinton, MS 390564716

Telephone 6019261116
Fax 6019261234
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1740295906

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Clinton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Clinton, MS (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS E-12650

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003185471

Doctor of Pharmacy (Pharm.D.)

NPI 1164792503

Registered Pharmacist

NPI 1346852647
NPI 1538430228

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

Registered at 204 HIGHWAY 80 E, CLINTON, MS 390564716 (Tel: 6019261116)

📍
Updated Business Mailing Address August 18, 2020

Registered at 204 HIGHWAY 80 E, CLINTON, MS 390564716 (Tel: 6019261116)

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as THIRSTON DIVINITY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Pharmacist (License #E-12650 in MS)

🟢
Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538771894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: August 18, 2020
Sole Proprietor: No

Mailing Address

204 Highway 80 E

Clinton, MS 390564716

Phone: 6019261116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.