ENTERPRISE PHARMACY LLC (NPI# 1447575394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447575394 |
| Entity Type | Organization |
| Organization Name | ENTERPRISE PHARMACY LLC |
| Other Organization Name | ENTERPRISE PHARMACY |
| Practice Address |
83 Old Mill Creek Rd Enterprise MS 39330-9649 |
| Practice Telephone | 6016599909 |
| Practice Fax Number | 6016599902 |
| Mailing Telephone | 6016599909 |
| Mailing Fax Number | 6016599902 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-07-05 |
| Authorized Official Name | DANIEL JOHNSON (OWNER) |
| Authorized Official Telephone | 6019385323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0843211 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127578 | 01 | |
| MS | 00258810 | 05 |
| Other Name | Type Code |
|---|---|
| Enterprise Pharmacy | Doing Business As Name - Organization |
| Street Address |
83 OLD MILL CREEK RD |
| City | ENTERPRISE |
| State | MS |
| Zip Code | 39330-9649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992773675 | Charles R. Purdy | Emergency Medicine | 83 Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710051206 | Enterprise Ambulence Service | Ambulance | Hwy 513, Enterprise, MS 39330 | 2006-11-17 |
| 1679710933 | Keisha L Oliphant | Nurse Practitioner | 9421 Eastside Drive Ext, Newton, MS 39330-0000 | 2009-01-08 |
| 1669086591 | Justlikehome Supportive Living LLC | Assisted Living Facility | 9 County Road 3312, Enterprise, MS 39330-9070 | 2020-09-08 |
| 1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
| 1154629178 | Ashley D Gray | Nurse Practitioner | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2011-03-01 |
| 1356780423 | Anderson Regional Medical Center | Clinic/Center | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2013-06-21 |
| 1780096586 | Rest Haven | Assisted Living Facility | 686 County Road 370, Enterprise, MS 39330-9727 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
| 1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1669086591 | Justlikehome Supportive Living LLC | Assisted Living Facility | 9 County Road 3312, Enterprise, MS 39330-9070 | 2020-09-08 |
| 1093328676 | Mt Therapy LLC | Marriage & Family Therapist | 401 Lake Oliver Dr, Enterprise, AL 36330-1440 | 2020-08-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1093325268 | Keith Aaron Cates | Counselor | 903 W College St, Enterprise, AL 36330-2846 | 2020-08-03 |
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1285250670 | Dylan Reese Mccollough | Nurse Practitioner | 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 | 2020-06-22 |
| Find all providers in ENTERPRISE | ||||
| 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 |
|---|---|---|---|---|
| 1104273002 | Bryan Pharmacy Inc | Pharmacy | 6580 Boll Weevil Cir, Enterprise, AL 36330-9424 | 2016-05-20 |
| 1942686761 | Stapley Pharmacy, Inc. | Pharmacy | 167 E. Main Street, Enterprise, UT 84725 | 2015-08-04 |
| 1568822021 | Holley Pharmacy Inc | Pharmacy | 612 N Main St Ste A, Enterprise, AL 36330-1775 | 2016-02-26 |
| 1578991584 | Bryars-warren Drug Co, LLC | Pharmacy | 112 N Main St, Enterprise, AL 36330-2537 | 2013-10-30 |
| 1891965315 | Bryars-warren Drug Co | Pharmacy | 112 N Main St, Enterprise, AL 36330-2537 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1699331868 | Fulton Specialty Pharmacy, LLC | Pharmacy | 1509 S Adams St Ste D, Fulton, MS 38843-6621 | 2019-05-14 |
| 1063971539 | National Pharmacy of Mississippi, LLC | Pharmacy | 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2019-03-14 |
| 1811468952 | Davidson Pharmacy, LLC | Pharmacy | 203a N 2nd St, Booneville, MS 38829-2701 | 2018-12-16 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1306325402 | Family Drug Mart of Poplarville,llc | Pharmacy | 100 Highway 11 N, Poplarville, MS 39470-2217 | 2018-08-09 |
| 1851883789 | Amory Discount Pharmacy, LLC | Pharmacy | 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 39330 |
Please comment or provide details below to improve the information on ENTERPRISE PHARMACY LLC.
| 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.