Active NPI
Trustmore Incorporated
Doing business as Trustmore Health Services
- Long Term Care Pharmacy
- Pearl, MS
National Provider Identifier
1023220944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 06864026
- Legal business name
- TRUSTMORE INCORPORATED
- Doing business as
- Trustmore Health Services
- Practice address
- 102 Metroplex Blvd
Suite a
Pearl, MS 39208-9202 - Phone
- (601) 502-2350
- Fax
- (601) 939-1199
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kelly
- Title
- President
- Phone
- (601) 946-3939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 06864026 | MS | Primary |
Addresses
Primary practice location
102 Metroplex Blvd
Suite a
Pearl, MS 39208-9202
Mailing address
102 Metroplex Blvd
Suite a
Pearl, MS 39208-9202
Phone (601) 502-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2586418 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- TRUSTMORE HEALTH SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- Trustmore Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
102 Metroplex Blvd
#A
Pearl, MS 39208
Phone (601) 502-2350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1023220944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 METROPLEX BLVD",
"address_2": "SUITE A",
"city": "PEARL",
"state": "MS",
"postal_code": "392089202",
"telephone_number": "601-502-2350",
"fax_number": "601-939-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 METROPLEX BLVD",
"address_2": "SUITE A",
"city": "PEARL",
"state": "MS",
"postal_code": "392089202",
"telephone_number": "601-502-2350",
"fax_number": "601-939-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTMORE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-946-3939"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "06864026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2586418",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRUSTMORE HEALTH SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pearl, MS
- Katerina Toal
- Mary Sneary Townsend
- Triexperts
- Raymundo Cadag Trinanes, C. A. P. M. H. N. P.
- Trupath Respiratory and Clinical Services
- Trustmore Incorporated (Trustmore Health Services)
- Tutor Family Dentistry LLC
- Univers Medical Massage (Universal Medical Massage)
- Veterans Health Adminstration
- Tina Marie Villanueva
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.