Organization Active NPI

Apothecare LLC

  • Long Term Care Pharmacy
  • Meadville, MS
National Provider Identifier
1093955544
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY.007269-NR Issued in LA
Legal business name
APOTHECARE LLC
Doing business as
ApotheCare,LLC
Practice address
82 Main St W
Meadville, MS 39653-9320
Phone
(601) 384-3105
Fax
(601) 384-3108
NPI assigned
Feb 24, 2009
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Michael MilsteadNPI 1326643875
Title
Director of Pharmacy
Phone
(601) 384-3105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 08046/02.3 MS
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PHY.007269-NR LA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

82 Main St W
Meadville, MS 39653-9320

Mailing address

PO Box 919
Meadville, MS 39653-0910
Phone (601) 384-3105

Other identifiers 3

IdentifierTypeStateIssuer
2204408MedicaidLA
2119623OtherPK
06070017MedicaidMS

Other names 1

  • ApotheCare,LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160121001992 MS Part B Supplier - Mass Immunization (Roster Biller Only) 3678876877 Practice locations: Meadville, MS
O20171204001432 MS DME Supplier - Pharmacy 3678876877 Practice locations: Meadville, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2184817Apothecare LLC82 Main St W, Meadville, MS 39653Certificate of waiverMay 25, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Apothecare LLC82 Main St W, Meadville, MS 39653-9320(601) 384-3105 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 1, 2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1093955544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396530910",
            "telephone_number": "601-384-3105",
            "fax_number": "601-384-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN ST W",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396539320",
            "telephone_number": "601-384-3105",
            "fax_number": "601-384-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MILSTEAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "601-384-3105"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "08046/02.3",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY.007269-NR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204408",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119623",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06070017",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApotheCare,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.