Synergy Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

F12102 Issued in MS

Legal business name

SYNERGY PHARMACY LLC

Doing business as

Synergy Pharmacy, LLC

Practice address

101E G T Thames Dr
Starkville, MS 39759-9042

Phone

(662) 268-8226

Fax

(662) 268-8288

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Allan Smith

Title

Manager/Member

Phone

(662) 268-8226

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Synergy Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1073852984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101E G T THAMES DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599042",
            "telephone_number": "662-268-8226",
            "fax_number": "662-268-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101E G T THAMES DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599042",
            "telephone_number": "662-268-8226",
            "fax_number": "662-268-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "662-268-8226"
    },
    "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": "F12102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138942",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaye W Stowell, FNP
• Rashida Sturgis, OCCUPATIONAL THERAPY
• Jessica McHan Sugg, MOT, OTR/L
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• Luellyn Switzer, M.S., LPC
• Paige Tabor, MOTR/L
• Aeriell B. Tallie, MA
• Ravali Tarigopula, M.D.
• Taylor Vision Clinic LLC
• Cynthia D Taylor-Payne

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.