SOUTHERN BONE & JOINT SPECIALISTS (NPI# 1548674658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548674658 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BONE & JOINT SPECIALISTS |
| Other Organization Name | ADVANCED RX PHARMACY 028 |
| Practice Address |
3688 Veterans Memorial Dr Ste 200 Hattiesburg MS 39401 |
| Mailing Address |
3688 Veterans Memorial Dr Ste 200 Hattiesburg MS 39401-8246 |
| Practice Telephone | 6015547449 |
| Practice Fax Number | 6015547491 |
| Mailing Telephone | 6015547400 |
| Mailing Fax Number | 6015547499 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | DAVID BURCKEL (CEO) |
| Authorized Official Telephone | 6015547400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1343411 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146374 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Rx Pharmacy 028 | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN BONE & JOINT SPECIALISTS | 1500 Ross Clark Cir, Dothan, AL 36301-4754 |
| Alabama Business Registrations | SOUTHERN BONE & JOINT SPECIALISTS ORTHOPEDIC & SPORTS MEDICINE I NSTITUTE, LLC |
| Street Address |
3688 VETERANS MEMORIAL DR STE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356638977 | John Hunter Berry | Orthopaedic Surgery | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 | 2011-07-03 |
| 1457854168 | Jessica D Bush | Nurse Practitioner | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401-8246 | 2018-03-09 |
| 1740705854 | Thomas Ling Woo | Pharmacist | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401-8246 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1295169753 | 30a Innovations,llc | Pharmacy | 3902 Hardy St, Hattiesburg, MS 39402-1541 | 2013-09-02 |
| 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 |
| 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 | 39401 |
Please comment or provide details below to improve the information on SOUTHERN BONE & JOINT SPECIALISTS.
| 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.