Individual provider Active NPI

Andrew L. Failla, R.PH

  • Pharmacist
  • Picayune, MS
National Provider Identifier
1093933798
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-07894 Issued in MS
Practice address
110 Highway 11 N
Picayune, MS 39466-3312
Phone
(601) 798-4846
Fax
(601) 798-4825
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-07894 MS Primary

Addresses

Primary practice location

110 Highway 11 N
Picayune, MS 39466-3312

Mailing address

PO Box 10
Picayune, MS 39466-0010
Phone (601) 798-4846

Other practice location 1

3310 Highway 11 N
Picayune, MS 39466-2000
Phone (601) 798-6565

Other practice location 2

510 S Main St
Poplarville, MS 39470-3023
Phone (601) 795-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
E-07894MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Picayune Drug Co., Inc. Past Accepting new patients
Pearl River Drug Co. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1093933798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660010",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 11 N",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663312",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Highway 11 N",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662000",
            "country_code": "US",
            "telephone_number": "601-798-6565",
            "fax_number": "601-798-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Main St",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394703023",
            "country_code": "US",
            "telephone_number": "601-795-4239",
            "fax_number": "601-795-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-07894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.