30A INNOVATIONS,LLC (NPI# 1295169753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295169753 |
Entity Type | Organization |
Organization Name | 30A INNOVATIONS,LLC |
Other Organization Name | FREEDOM PHARMACY |
Practice Address |
3902 Hardy St Hattiesburg MS 39402-1541 |
Mailing Address |
Po Box 16586 Hattiesburg MS 39404-6586 |
Practice Telephone | 6014227813 |
Enumeration Date | 2013-09-02 |
Last Update Date | 2013-09-02 |
Authorized Official Name | MISS MICHELLE SCOGGIN (PHARMACIST/CO-OWNER) |
Authorized Official Telephone | 6014227813 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MS | Suppliers |
Other Name | Type Code |
---|---|
Freedom Pharmacy | Doing Business As Name - Organization |
Street Address |
3902 HARDY ST |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831528561 | Michelle Scoggin | Pharmacist | 3902 Hardy St, Hattiesburg, MS 39402-1541 | 2013-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174803993 | Auxilium Specialty Apothecary Pharmacy Inc | Pharmacy | 16 Keystone Dr Ste B, Hattiesburg, MS 39402-6121 | 2011-08-24 |
1598913972 | Advantage Medical Infusion LLC | Pharmacy | 5296 Old Highway 11, Suite 4, Hattiesburg, MS 39402-8380 | 2008-08-28 |
1790820645 | Newpointe Pharmacy | Pharmacy | 6555 U S Highway 98, Suite 6, Hattiesburg, MS 39402-8699 | 2007-02-20 |
1508965815 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 3910 Hardy St, Hattiesburg, MS 39402-1500 | 2006-09-22 |
1760409585 | Village Pharmacy, L.L.C. | Pharmacy | 560 Weathersby Rd, Suite 170, Hattiesburg, MS 39402-1164 | 2006-07-16 |
1548674658 | Southern Bone & Joint Specialists | Pharmacy | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 | 2014-06-17 |
1144383613 | Pomank Ventures LLC | Pharmacy | 500 Katie Ave, Hattiesburg, MS 39401-4380 | 2006-12-18 |
1992800502 | Freds Stores of Tennessee Inc | Pharmacy | 5266 Old Highway 11, Suite 160, Hattiesburg, MS 39402-7817 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39402 |
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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.