Active NPI
Pharmakan, Inc
- Institutional Pharmacy
- Flowood, MS
National Provider Identifier
1104998269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 0218002.0
- Legal business name
- PHARMAKAN, INC
- Practice address
- 1042A River Oaks Dr
Flowood, MS 39232-9594 - Phone
- (601) 932-6245
- Fax
- (601) 939-8286
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronnie Bagwell Jr., R.PH
- Title
- President
- Phone
- (601) 932-6245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 0218002.0 | MS | Primary |
Addresses
Primary practice location
1042A River Oaks Dr
Flowood, MS 39232-9594
Mailing address
1042A River Oaks Dr
Flowood, MS 39232-9594
Phone (601) 932-6245
Other names 1
- professional pharmacy services of jackson
National Provider Directory
National Provider DirectoryLocations
1042A River Oaks Dr
Flowood, MS 39232
Phone (601) 932-6245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104998269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042A RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329594",
"telephone_number": "601-932-6245",
"fax_number": "601-939-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042A RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329594",
"telephone_number": "601-932-6245",
"fax_number": "601-939-8286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMAKAN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAGWELL",
"authorized_official_first_name": "RONNIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-932-6245",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "MS",
"license": "0218002.0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "professional pharmacy services of jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
Sources for this page
- 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.