Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1508907411 Deactivated / Inactive NPI Male Practitioner

Billie James Bonner

Pharmacist • Grenada, MS

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Billie Bonner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2007
NPI Deactivation Date September 11, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Billie Bonner was a registered Pharmacist practicing in Grenada, MS. Throughout an active medical career spanning 13 years, Billie Bonner provided care at the practice location at 1000 J K AVENT DR until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

1000 J K Avent Dr

Grenada, MS 389015063

Telephone 6622268825
Fax 6622268825
Associated Practice Facility / Clinic
🏢 Bonner's Pharmacy Facility NPI 1538378468

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Grenada, MS

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

Practicing in Grenada, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS E3644

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.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1000 J K AVENT DR, GRENADA, MS 389015063 (Tel: 6622268825)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1000 J K AVENT DR, GRENADA, MS 389015063 (Tel: 6622268825)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BILLIE BONNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #E3644 in MS)

🟢
Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Billie Bonner. Be the first to share your experience!

Sign in to leave a review for Billie Bonner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1508907411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: July 08, 2007
Deactivation Date: September 11, 2020

Mailing Address

1000 J K Avent Dr

Grenada, MS 389015063

Phone: 6622268825

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.