FIRST PHARMACY COMPOUNDING SERVICES (NPI# 1245521574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245521574 |
| Entity Type | Organization |
| Organization Name | FIRST PHARMACY COMPOUNDING SERVICES |
| Practice Address |
5185 Getwell Rd Southaven MS 38671-9691 |
| Mailing Address |
Po Box 47 Pope MS 38658-0047 |
| Practice Telephone | 6628936300 |
| Practice Fax Number | 6628936323 |
| Mailing Telephone | 6628936300 |
| Mailing Fax Number | 6628936323 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | DR. DENISE M PRATT (VICE PRESIDENT) |
| Authorized Official Telephone | 6628936300 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
MS | Suppliers |
| Street Address |
5185 GETWELL RD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1063976983 | Collietta Bassett | Nurse Practitioner | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2019-01-24 |
| 1174028724 | Alice Dawn Jenkins | Pharmacist | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2018-03-27 |
| 1215443072 | Sarah Allison Morris | Pharmacist | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2017-12-15 |
| 1689191686 | Smart Medi Care Health Services Inc. | Community/Behavioral Health | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558851 | Brick City Compounding LLC | Pharmacy | 159 Fountains Blvd Ste C, Madison, MS 39110-6344 | 2020-08-10 |
| 1164968624 | Saver Express LLC | Pharmacy | 1051 Highland Colony Pkwy Ste C, Ridgeland, MS 39157-7701 | 2017-01-09 |
| 1902359342 | Asm Inc | Pharmacy | 9065 Sandidge Center Cv, Suite A, Olive Branch, MS 38654-3574 | 2016-08-02 |
| 1538522446 | Kinetix Group LLC | Pharmacy | 104 Business Park Dr Ste H, Suite H, Ridgeland, MS 39157-6017 | 2016-03-30 |
| 1477968980 | Advantage Apothecary, LLCf | Pharmacy | 5296 Old Highway 11 Ste 4, Hattiesburg, MS 39402-8380 | 2014-06-23 |
| 1275951402 | Olde Towne Drugs, Ltd. | Pharmacy | 1645 W Government Cv Ste E, Brandon, MS 39042-4602 | 2014-04-04 |
| 1992139711 | Midsouth Medical Specialties, LLC | Pharmacy | 185 W Center St, Hernando, MS 38632-2268 | 2013-08-28 |
| 1285987461 | Southwest Pharmacy Inc | Pharmacy | 1005 W Congress St, Brookhaven, MS 39601-2603 | 2012-10-24 |
| 1407109457 | Keystone Pharmacy LLC | Pharmacy | 106 Highland Way Ste 206, Madison, MS 39110-6930 | 2012-10-15 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| Find all providers with the same taxonomy | ||||
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| 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.