NORTHEAST MENTAL HEALTH MENTAL RETARDATION COMMISSION (NPI# 1982761367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982761367 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MENTAL HEALTH MENTAL RETARDATION COMMISSION |
| Other Organization Name | LIFECORE PHARMACY, AMORY |
| Practice Address |
317 Main St N Amory MS 38821-3420 |
| Practice Telephone | 6626344347 |
| Practice Fax Number | 6622565567 |
| Mailing Telephone | 6626344347 |
| Mailing Fax Number | 6622565567 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | VAN WATSON (VP OF PHARMACY DIVISION) |
| Authorized Official Telephone | 6626344347 |
| Authorized Official Credential | BS OF PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
07162/5.2 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05123737 | 05 | |
| PK | 2047457 | 01 |
| Other Name | Type Code |
|---|---|
| LIFECORE PHARMACY, AMORY | Doing Business As Name - Organization |
| Street Address |
317 MAIN ST N |
| City | AMORY |
| State | MS |
| Zip Code | 38821-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447420450 | Murial Teresa Johnson | Counselor | 317 Main St N, Amory, MS 38821-3420 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
| 1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
| 1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
| 1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
| 1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
| 1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
| 1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
| 1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
| Find all providers in zip 38821 | ||||
| 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 |
|---|---|---|---|---|
| 1407324569 | J & K Pharmacy Services LLC | Pharmacy | 802 Earl Frye Blvd, Amory, MS 38821-5505 | 2018-11-07 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1831565852 | Priority Care Pharmacy At Cotton Gin Point, LLC | Pharmacy | 1506 Highway 278 E Ste G, Amory, MS 38821-5917 | 2015-08-13 |
| 1558926337 | Getwell Pharmacy of Tennessee, Inc. | Pharmacy | 607 Earl Frye Blvd, Amory, MS 38821-5503 | 2019-05-07 |
| 1215325022 | Priority Care Pharmacy Solutions, LLC | Pharmacy | 211 10th Ave N, Amory, MS 38821-1827 | 2014-12-31 |
| 1497173983 | Priority Care Pharmacy, LLC | Pharmacy | 1600 Highland Dr, Amory, MS 38821-1003 | 2014-04-01 |
| 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 | ||||
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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.