PHARMACY MANAGEMENT GROUP (NPI# 1356538557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356538557 |
Entity Type | Organization |
Organization Name | PHARMACY MANAGEMENT GROUP |
Other Organization Name | TOTAL CARE PHARMACY OF TUPELO |
Practice Address |
2590 W Main St Tupelo MS 38801-3150 |
Mailing Address |
101 12th St S Columbus MS 39701-5830 |
Practice Telephone | 6624070123 |
Practice Fax Number | 6624070124 |
Enumeration Date | 2007-10-02 |
Last Update Date | 2007-10-11 |
Authorized Official Name | RON HARRIS (CEO MANG MEMBER) |
Authorized Official Telephone | 6623274025 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
07473012 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER | 2587004 | 01 |
Other Name | Type Code |
---|---|
TOTAL CARE PHARMACY OF TUPELO | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174568240 | Pharmacy Management Group | Pharmacy | 200 Hospital Rd, Bldg 3 Professional Plaza, Starkville, MS 39759 | 2006-06-20 |
1740225184 | Pharmacy Management Group | Pharmacy | 186 Medical Dr, Winfield, AL 35594-5002 | 2006-06-19 |
1811932171 | Pharmacy Management Group | Pharmacy | 203 S Church St, Okolona, MS 38860-1608 | 2006-06-19 |
1114953726 | Pharmacy Management Group | Pharmacy | 111 N Main St, Water Valley, MS 38965-2905 | 2006-06-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PHARMACY MANAGEMENT GROUP, LLC | 69 Sandra Dr., Worcester, MA 01604 |
Street Address |
2590 W MAIN ST |
City | TUPELO |
State | MS |
Zip Code | 38801-3150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
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 |
---|---|---|---|---|
1225661465 | Thomas Street Compounding Pharmacy | Pharmacy | 86 S Thomas St, Tupelo, MS 38801-4355 | 2020-02-17 |
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 |
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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.