UNIVERSITY OF MISSISSIPPI (NPI# 1639277957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639277957 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MISSISSIPPI |
| Other Organization Name | STUDENT HEALTH CENTER PHARMACY |
| Practice Address |
153 Rebel Drive Harrison Bldg University MS 38677-1848 |
| Practice Telephone | 6629155279 |
| Practice Fax Number | 6629155292 |
| Mailing Telephone | 6629155279 |
| Mailing Fax Number | 6629155292 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | DR. SANDRA IRENE BENTLEY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6629155279 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF MISSISSIPPI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0222902SU | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | NABP | 2517083 | 01 |
| MS | DEA | BU2570340 | 01 |
| Other Name | Type Code |
|---|---|
| Student Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962798439 | University of Mississippi | Clinic/Center | 1848 University Circle, Athletic Department, Oxford, MS 38677 | 2011-06-23 |
| 1962618223 | University of Mississippi | Counselor | G382 Kinard Hall, University, MS 38677 | 2007-05-15 |
| 1285947614 | University of Mississippi | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| 1548573975 | University of Mississippi | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF MISSISSIPPI | 113 Falkner, University, MS 38677-9704 |
| Street Address |
153 REBEL DRIVE HARRISON BLDG |
| City | UNIVERSITY |
| State | MS |
| Zip Code | 38677-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1245883339 | Laura J Dixon | Psychologist | 382 Kinard Hall, Psychological Services Center, University, MS 38677 | 2019-07-18 |
| 1710549795 | Ronald Corbit Franks Jr. | Specialist/Technologist | 972 Hathorn Rd, University, MS 38677 | 2019-07-01 |
| 1073083945 | Daniel Locke Deason | Psychologist | 320 Lester Hall, University, MS 38677 | 2018-12-04 |
| 1831632876 | Brittany Ferrell | Specialist/Technologist | 836 All-american Dr, Starnes Athletic Training Room, University, MS 38677 | 2016-11-23 |
| 1659729127 | Joshua Magruder | Counselor | 850 Insight Park, Ste. 163 A, University, MS 38677 | 2016-05-25 |
| 1689055972 | Carol Anne Langendoen | Social Worker | 850 Insight Park Suite 163a, University, MS 38677 | 2015-06-12 |
| 1841670791 | Britney Elise Woodhull-smith | Specialist/Technologist | 836 All-american Drive, Starnes Athletic Training Room, Oxford, MS 38677 | 2015-06-05 |
| 1841687076 | Melanie Lynn | Specialist/Technologist | 836 All-american Dr., University, MS 38677 | 2015-04-27 |
| 1871901066 | University Mississippi Nutrition Clinic | Clinic/Center | 100 Lenoir Hall, Sorority Row, University, MS 38677 | 2014-07-31 |
| Find all providers in zip 38677 | ||||
| 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 |
| 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 | UNIVERSITY |
| Zip Code | 38677 |
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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.