Organization Active NPI

Home Oxygen & Medical Equipment Inc

Doing business as Parkway Pharmacy

  • Community/Retail Pharmacy
  • Clinton, MS
National Provider Identifier
1114075595
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02413 01.1 Issued in MS
Legal business name
HOME OXYGEN & MEDICAL EQUIPMENT INC
Doing business as
Parkway Pharmacy
Practice address
134 E Northside Dr
Clinton, MS 39056-3659
Phone
(601) 924-8935
Fax
(601) 924-9127
NPI assigned
Jan 8, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Wesley A Miley, RPHNPI 1770525875
Title
Owner
Phone
(601) 924-8935

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02413 01.1 MS Primary

Addresses

Primary practice location

134 E Northside Dr
Clinton, MS 39056-3659

Mailing address

PO Box 1395
Clinton, MS 39060-1395
Phone (601) 924-8935

Other identifiers 2

IdentifierTypeStateIssuer
00330062MedicaidMS
2517627OtherMSNCPDP#

Other names 1

  • Parkway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000752 MS Part B Supplier - Mass Immunization (Roster Biller Only) 8527073337 Practice locations: Clinton, 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
25D0945719Parkway Pharmacy134 East Northside Drive, Clinton, MS 39056Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

821 E Northside Dr
Clinton, MS 39056
Phone (601) 924-8935

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114075595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390601395",
            "telephone_number": "601-924-8935",
            "fax_number": "601-924-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E NORTHSIDE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563659",
            "telephone_number": "601-924-8935",
            "fax_number": "601-924-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OXYGEN & MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-924-8935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "02413 01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330062",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "2517627",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.