GENTEX PHARMA


Address: 121 Marketridge Dr, Suite C, Ridgeland, MS 39157-6027
Phone: 6019909497

GENTEX PHARMA (NPI# 1114373586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114373586
Entity Type Organization
Organization Name GENTEX PHARMA
Other Organization Name GENTEX PHARMA LLC
Practice Address 121 Marketridge Dr
Suite C
Ridgeland
MS 39157-6027
Practice Telephone 6019909497
Practice Fax Number 6015109318
Mailing Telephone 6019909497
Mailing Fax Number 6015109318
Enumeration Date 2016-05-04
Last Update Date 2016-05-04
Authorized Official Name FORD JENNINGS MUNDY (OWNER)
Authorized Official Telephone 8702431687
Authorized Official Credential PERSON IN CHARGE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site 06677/6.1 MS Suppliers

Other Provider/Organization Names

Other Name Type Code
Gentex Pharma LLC Doing Business As Name - Organization

Office Location

Street Address 121 MARKETRIDGE DR
SUITE C
City RIDGELAND
State MS
Zip Code 39157-6027

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124631023 Mychell Thomas Licensed Practical Nurse 199 Charmant Place, Ridgeland, MS 39157 2020-08-28
1225680945 Verthena Edwards Home Health 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 2019-07-12
1730663469 Essential Touchtones Psychologist 210 W. Jackson Street, Ridgeland, MS 39157 2018-09-19
1841786365 Whitney Paige Crum Speech-Language Pathologist Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 2018-07-09
1811487002 Camille Brockett Social Worker 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 2018-05-14
1588171177 Layson Counseling Group, Pllc Counselor 573 Hwy 51 Suite B, Ridgeland, MS 39157 2018-01-04
1407376452 Mobility Rehab LLC Clinic/Center 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 2017-06-21
1184165102 Sinus and Allergy Institute Pllc Otolaryngology 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 2017-03-09
1093263410 Natural Health Project LLC General Practice 555 Highway 51, Ridgeland, MS 39157 2016-09-14
1851755714 Jerlunda Lynn Dudley Social Worker 511 Clark Street, Rosedale, MS 39157 2016-04-07
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679826945 Sotolongo Clinic, Pa Non-Pharmacy Dispensing Site 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 2012-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790265627 Mississippi Brain and Spine, Pllc Non-Pharmacy Dispensing Site 1 Layfair Drive, Ste 120, Flowood, MS 39232 2018-08-20
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1285177543 Gastroenterology Center of The Midsouth PC Non-Pharmacy Dispensing Site 7668b Airways Blvd, Southaven, MS 38671-5304 2016-11-18
1952783078 Mom 2 Be, LLC Non-Pharmacy Dispensing Site 449 Wilkins Wise Rd, Columbus, MS 39705-1756 2015-06-25
1982176426 Brian Shwer, Dpm Non-Pharmacy Dispensing Site 564 Goodman Rd E, Southaven, MS 38671-9526 2018-12-21
1790269439 Pain Consultants of Alabama, LLC Non-Pharmacy Dispensing Site 4105 Hospital Road, Ste 112b, Pascagoula, MS 39581 2018-09-19
1316366503 Bienville Orthopaedic Specialists LLC Non-Pharmacy Dispensing Site 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 2014-04-15
1295161404 Mississippi Orthopaedic Institute Non-Pharmacy Dispensing Site 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 2013-09-19
1578613188 Urgent Medical Clinic Inc Non-Pharmacy Dispensing Site 176 Goodman Rd W, Southaven, MS 38671-9405 2007-01-12
1164433678 Meridian Oncology Associates Pllc Non-Pharmacy Dispensing Site 1704 23rd Ave, 2nd Flr, Meridian, MS 39301-3103 2006-08-10
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Competitor

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City RIDGELAND
Zip Code 39157

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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