OLDE TOWNE DRUGS, LTD. (NPI# 1275951402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275951402 |
| Entity Type | Organization |
| Organization Name | OLDE TOWNE DRUGS, LTD. |
| Other Organization Name | OLDE TOWNE DRUGS |
| Practice Address |
1645 W Government Cv Ste E Brandon MS 39042-4602 |
| Mailing Address |
1320 Trickhambridge Rd Brandon MS 39042-9213 |
| Practice Telephone | 6017205775 |
| Practice Fax Number | 6018252356 |
| Mailing Telephone | 6017205775 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | DR. ANNA CLAIRE HEINDL (OWNER, PRESIDENT, PHARMACIST IN CHA) |
| Authorized Official Telephone | 6017205775 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
13280 | MS | Suppliers |
| Other Name | Type Code |
|---|---|
| Olde Towne Drugs | Doing Business As Name - Organization |
| Street Address |
1645 W GOVERNMENT CV STE E |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851703565 | Anna Claire Heindl | Pharmacist | 1645 W Government Cv Ste E, Brandon, MS 39042-4602 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| 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 |
|---|---|---|---|---|
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1457741696 | Hm Bloomingdale LLC | Pharmacy | 519 E Bloomingdale Ave, Suite C, Brandon, FL 33511-8180 | 2015-01-26 |
| 1871999516 | Hm Brandon LLC | Pharmacy | 116 Parsons Park Dr, Brandon, FL 33511-6066 | 2014-11-07 |
| 1639470362 | Advanced Medical Pharmacy, Inc. | Pharmacy | 1129 Nikki View Dr, Brandon, FL 33511-4879 | 2010-11-11 |
| 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 |
| 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 |
| 1679833404 | Highland Specialty Pharmacy LLC | Pharmacy | 23 Town Center Square, Hattiesburg, MS 39402 | 2012-05-28 |
| 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.