PHARMACY INNOVATIONS LLC (NPI# 1366803512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366803512 |
| Entity Type | Organization |
| Organization Name | PHARMACY INNOVATIONS LLC |
| Other Organization Name | TUPELO DRUGS |
| Practice Address |
715 Garfield St Tupelo MS 38801-6339 |
| Practice Telephone | 8556121385 |
| Practice Fax Number | 8556121386 |
| Mailing Telephone | 8556121385 |
| Mailing Fax Number | 8556121386 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | AMY COCHRAN (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8556121385 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 14763 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159492 | 01 | |
| MS | 01381865 | 05 |
| Other Name | Type Code |
|---|---|
| Tupelo Drugs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHARMACY INNOVATIONS LLC | 715 Garfield St, Tupelo, MS 38801 |
| Street Address |
715 GARFIELD ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6339 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1427489517 | Northeast Mental Health-mental Retardation Commission | Pharmacy | 499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4600 | 2013-11-27 |
| 1811247356 | Burns Inc | Pharmacy | 1244 E Main St, Tupelo, MS 38804-2952 | 2012-09-12 |
| 1497838015 | Walgreen Co | Pharmacy | 738 S Gloster St, Tupelo, MS 38801-4932 | 2006-10-24 |
| 1255342762 | Ltc Pharmacy Solutions LLC | Pharmacy | 2801 W Main St, Tupelo, MS 38801-3001 | 2006-08-10 |
| 1295711281 | North Ms. Medical Center Outpatient Pharmacy | Pharmacy | 609 Garfield St, Suite A, Tupelo, MS 38801-6337 | 2005-12-21 |
| 1255698908 | Rxs Pm Retail | Pharmacy | 2801 W Main St, Tupelo, MS 38801-3001 | 2012-04-19 |
| 1346305497 | East Heights Pharmacy Inc | Pharmacy | 1001 E Main St, Tupelo, MS 38804-2829 | 2006-12-27 |
| 1316975378 | Freds Stores of Tennessee Inc | Pharmacy | 809 Varsity Dr, Tupelo, MS 38801-4615 | 2006-06-29 |
| Find all providers in TUPELO | ||||
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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.