NPIMap

Organization Active NPI

Noxubee General Critical Access Hospital

Doing business as Macon Primary Pharmacy

  • Community/Retail Pharmacy
  • Macon, MS
National Provider Identifier
1134616113
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17020
Legal business name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Doing business as
Macon Primary Pharmacy
Practice address
34 Hospital Road
Macon, MS 39341
Phone
(662) 788-4398
Fax
(662) 788-4399
NPI assigned
Apr 16, 2018
Last updated
Apr 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NOXUBEE GENERAL CRITICAL ACCESS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Mr. Danny H. McKay
Title
Administrator
Phone
(662) 726-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 17020 Primary

Addresses

Primary practice location

34 Hospital Road
Macon, MS 39341

Mailing address

PO Box 480
Macon, MS 39341
Phone (662) 726-4231

Other names 1

  • Macon Primary Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190312000259 MS Part B Supplier - Pharmacy 9335130798 Practice locations: Macon, MS
O20190820004266 MS DME Supplier - Pharmacy 9335130798 Practice locations: Macon, MS

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Noxubee General Critical Access Hos34 Hospital Rd, Macon, MS 39341-9998(662) 722-4398 Nebulizer Drugs Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Noxubee General Cah7 organizations share this tax ID, including this one
Part of
Noxubee General Cah

Other organizations with this tax ID 6

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

Locations

606 N Jefferson St
#480
Macon, MS 39341
Phone (662) 726-4264

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1134616113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MACON",
            "state": "MS",
            "postal_code": "39341",
            "telephone_number": "662-726-4231",
            "fax_number": "662-726-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HOSPITAL ROAD",
            "city": "MACON",
            "state": "MS",
            "postal_code": "39341",
            "telephone_number": "662-788-4398",
            "fax_number": "662-788-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-726-4231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "17020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macon Primary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.