Active NPI
National Pharmacy of Mississippi, LLC
- Long Term Care Pharmacy
- Ridgeland, MS
National Provider Identifier
1063971539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- NATIONAL PHARMACY OF MISSISSIPPI, LLC
- Practice address
- 371B Highland Colony Pkwy
Ridgeland, MS 39157-6035 - Phone
- (769) 235-4141
- Fax
- (769) 235-7162
- NPI assigned
- Mar 14, 2019
- 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
- Samuel Thomas Mahfouz
- Title
- Managing Member
- Phone
- (769) 235-4141
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
371B Highland Colony Pkwy
Ridgeland, MS 39157-6035
Mailing address
371B Highland Colony Pkwy
Ridgeland, MS 39157-6035
Phone (769) 235-4141
National Provider Directory
National Provider DirectoryLocations
371B Highland Colony Pkwy
Ridgeland, MS 39157
Phone (318) 445-8770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ridgeland, MS
- NPI 1144806217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571616000000",
"number": "1063971539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371B HIGHLAND COLONY PKWY",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391576035",
"telephone_number": "769-235-4141",
"fax_number": "769-235-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371B HIGHLAND COLONY PKWY",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391576035",
"telephone_number": "769-235-4141",
"fax_number": "769-235-7162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL PHARMACY OF MISSISSIPPI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2019-10-21",
"status": "A",
"authorized_official_last_name": "MAHFOUZ",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "769-235-4141"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.