Wynn Sanders Pharmacy, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

912PSG Issued in MS

Legal business name

WYNN SANDERS PHARMACY, INC.

Doing business as

Sanders Pharmacy #1

Practice address

202 East Starling
Greenville, MS 38701

Phone

(662) 335-3385

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By 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

Wynn Sanders

Title

Owner

Phone

(662) 335-3385

Specialties & licenses 1

Addresses

Other names 1

• SANDERS PHARMACY #1 Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093898579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EAST STARLING",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 EAST STARLING",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-335-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN SANDERS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "WYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-335-3385"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "912PSG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANDERS PHARMACY #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brunswick Royalton Wong, O.D.
• Pamela C. Woods, CNA
• Tomeka Wright-Little, NURSE PRACTITIONER
• Christina Wright
• Denise Wright, CNP
• Sana Ahmed Yaklur, MD
• Geraldine Q Young, CFNP
• Courtney Zepponi, PNP
• Timothy Brett Zepponi, DO
• Zions Helping Hands Home Care Services

• Durable Medical Equipment & Medical Supplies in Greenville, MS
• Providers in Greenville, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.