Pharmacy Plus, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

16882-1.1 Issued in MS

Legal business name

PHARMACY PLUS, INC.

Practice address

115 S 40TH Ave
Suite a
Hattiesburg, MS 39402-6600

Phone

(601) 261-0503

Fax

(601) 261-0127

NPI assigned

Mar 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa James

Title

Director of Operations

Phone

(601) 261-0503

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Vital Care Compounder Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1013410737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 40TH AVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026600",
            "telephone_number": "601-261-0503",
            "fax_number": "601-261-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 40TH AVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026600",
            "telephone_number": "601-261-0503",
            "fax_number": "601-261-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "601-261-0503"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "16882-1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Compounder",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Hugh Peters, M.D.
• Shira Yvette Peterson, LPC
• John Vernon Petro Jr., MD
• Olivia Peyton, DMD
• Pharmacy Plus Infusion Services of Hattiesburg, Inc.
• Tamra Phelps, DC
• Joseph P Phillips, MD
• Kacey Phillips, FNP
• Kathryn Elaine Phillips, BCBA
• Lauren Phillips

• Compounding Pharmacy in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.