PHARMACY GROUP OF MISSISSIPPI, LLC (NPI# 1699182444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699182444 |
| Entity Type | Organization |
| Organization Name | PHARMACY GROUP OF MISSISSIPPI, LLC |
| Other Organization Name | PHARMACY PARTNERS OF MISSISSIPPI |
| Practice Address |
136 Enterprise Dr Madison MS 39110-8701 |
| Practice Telephone | 6014992460 |
| Mailing Telephone | 6014992460 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MR. RONNIE JAMES CANNON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6014992460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pharmacy Partners of Mississippi | Doing Business As Name - Organization |
| Street Address |
136 ENTERPRISE DR |
| City | MADISON |
| State | MS |
| Zip Code | 39110-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568737237 | Stephen Randall Norman | Pharmacist | 136 Enterprise Dr, Madison, MS 39110-8701 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1043685852 | Rams Pharmacy LLC | Pharmacy | 412 Gallatin Pike N, Madison, TN 37115-3706 | 2015-12-04 |
| 1649619222 | Caredirect Rx of Jackson, LLC | Pharmacy | 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 | 2013-06-18 |
| 1447458278 | Direct Pharmaceutical Inc. Pharmacy | Pharmacy | 7293 Wall Triana Hwy, Suite C, Madison, AL 35757-8036 | 2007-07-03 |
| 1972611812 | Pp Acquisition Company, LLC | Pharmacy | 2818 Progress Rd, Madison, WI 53716-3338 | 2006-08-29 |
| 1518599257 | Louderback Drug of Madison, Inc. | Pharmacy | 201 S Main St, Madison, NE 68748-6485 | 2020-02-11 |
| 1043707987 | Guardian Pharmacy of Madison, LLC | Pharmacy | 3250 Kingsley Way, Madison, WI 53713-1383 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143323 | Sartin's Discount Drugs, Inc | Pharmacy | 4300 15th St Ste 1, Gulfport, MS 39501-2524 | 2020-08-04 |
| 1952932212 | Magnolia Drugs Inc | Pharmacy | 1757 Highway 178 W Ste B, Myrtle, MS 38650-9233 | 2020-01-27 |
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1609436674 | Thrift Drugs 2 | Pharmacy | 208 W Presley Blvd Ste B, Mccomb, MS 39648-5524 | 2019-06-20 |
| 1285135954 | Rocky L. Mcgarity, Inc. | Pharmacy | 103 W Frontage Rd Ste A, Lucedale, MS 39452-5836 | 2018-02-27 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1336520188 | Redimeds Pharmacy, LLC | Pharmacy | 3466 Mccullough Blvd Ste D-2, Belden, MS 38826-9468 | 2015-06-17 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1497133391 | Mississippi Senior Care | Pharmacy | 144 S Thomas St Ste 101-1, Tupelo, MS 38801-5326 | 2015-05-11 |
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| Find all providers with the same taxonomy | ||||
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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.