NPIMap

Organization Active NPI

Pharmacy Management Group

Doing business as Total Care Pharmacy of Water Valley

  • Community/Retail Pharmacy
  • Water Valley, MS
National Provider Identifier
1114953726
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07473 Issued in MS
Legal business name
PHARMACY MANAGEMENT GROUP
Doing business as
Total Care Pharmacy of Water Valley
Practice address
111 N Main St
Water Valley, MS 38965-2905
Phone
(662) 473-1245
Fax
(662) 473-1247
NPI assigned
Jun 24, 2006
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
Misty Oswalt
Title
Executive Assistant
Phone
(662) 327-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07473 MS Primary

Addresses

Primary practice location

111 N Main St
Water Valley, MS 38965-2905

Mailing address

111 N Main St
Water Valley, MS 38965-2905
Phone (662) 327-4025

Other identifiers 2

IdentifierTypeStateIssuer
2520143OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2520143OtherMSNCPDP

Other names 1

  • Total Care Pharmacy of Water Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Management Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 N Main St
Water Valley, MS 38965
Phone (662) 473-1245

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114953726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652905",
            "telephone_number": "662-327-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652905",
            "telephone_number": "662-473-1245",
            "fax_number": "662-473-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OSWALT",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "662-327-4025"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "07473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2520143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2520143",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Pharmacy of Water Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Water Valley, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.