PROFESSIONAL PHARMACY SERVICES, INC (NPI# 1487741203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487741203 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PHARMACY SERVICES, INC |
| Practice Address |
260 Delta Ave Clarksdale MS 38614-4213 |
| Practice Telephone | 6626246592 |
| Mailing Telephone | 6626246592 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VAL SOLDEVILA (PRES) |
| Authorized Official Telephone | 6626246592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 02101 | MS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440863 | 05 | |
| MS | NCPDP | 2516029 | 01 |
| MS | 00030537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758955 | Professional Pharmacy Services, Inc | Durable Medical Equipment & Medical Supplies | 773 Main St, North Myrtle Beach, SC 29582-3029 | 2005-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PROFESSIONAL PHARMACY SERVICES, INC. | 3780 E 15th St Ste 102, Loveland, CO 80538 |
| Massachusetts Corporations | PROFESSIONAL PHARMACY SERVICES, INC. | 900 Omnicare Center, 201 East Fourth Street, Cincinnati, OH 45202 |
| Washington State Corporations | PROFESSIONAL PHARMACY SERVICES, INC. | 100 E Rivercenter Blvd #1600, Covington, KY 41011 |
| Street Address |
260 DELTA AVE |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891252805 | Alvin Clayton Dixon | Pharmacist | 1967 Hospital Dr Ste B, Clarksdale, MS 38614-7203 | 2019-02-26 |
| 1528377579 | Valerie Hartsfield | Pharmacist | 236 Desoto Ave, Clarksdale, MS 38614-4422 | 2010-09-24 |
| 1851471155 | Delta Discount Drugs Inc. | Pharmacist | 731 S State St, Clarksdale, MS 38614-4801 | 2006-10-17 |
| 1922195643 | Val Soldevila | Pharmacist | 270 Delta Ave, Clarksdale, MS 38614-4213 | 2006-10-05 |
| 1396832101 | Henderson Drugs, Inc | Pharmacist | 2021 Hospital Dr, Clarksdale, MS 38614-7205 | 2006-10-05 |
| 1174124028 | Malendia Hite Thornton | Pharmacist | 1000 S State St, Clarksdale, MS 38614-4704 | 2020-11-06 |
| 1265032668 | Sarah Vance | Pharmacist | 1000 S State St, Clarksdale, MS 38614-4704 | 2020-10-27 |
| 1922608306 | Shirley Brianne Pounders | Pharmacist | 1000 S State St, Clarksdale, MS 38614-4704 | 2020-10-27 |
| 1841370137 | Haggard Drug Store Inc. | Pharmacist | 301 3rd St, Clarksdale, MS 38614-4307 | 2006-10-17 |
| 1841387560 | Economy Drugs of Clarksdale, Inc | Pharmacist | 2021 Hospital Dr, Clarksdale, MS 38614-7205 | 2006-10-05 |
| Find all providers in CLARKSDALE | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.