Emmanuel Ridge Comm Phcy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EMMANUEL RIDGE COMM PHCY

Practice address

2073 Highway 49 S
Florence, MS 39073-9422

Phone

(601) 845-3544

Fax

(601) 845-3636

NPI assigned

Aug 10, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beatrice Ezem, RN CM CLNC

Title

President

Phone

(601) 927-9839

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073524583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1522",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390731522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 HIGHWAY 49 S",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390739422",
            "telephone_number": "601-845-3544",
            "fax_number": "601-845-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL RIDGE COMM PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EZEM",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-927-9839",
        "authorized_official_credential": "RN CM CLNC"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06939011",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2586622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Ashley Crowder, BCBA
• Cindy Shields Dean, FNP
• Drew F Diedrick
• Madelyn G Edwards
• Emmanuel Ridge Chiropractic Services
• Emmanuel Ridge Community Health Clinic
• Emmanuel Ridge Community Service Organization (Emmanuel Ridge Senior Day Care Center)
• Emmanuel Ridge Home Care Agency Inc (Emmanuel Ridge Escorted Transportation Services)
• Emmanuel Ridge Home Care Agency Inc (Emmanuel Ridge In-Home Respite Care)
• Emmanuel Ridge Home Care Agency Inc (Emmanuel Ridge Homemaker Services)

• Long Term Care Pharmacy in Florence, MS
• Providers in Florence, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.