Active NPI
Saver Express LLC
- Community/Retail Pharmacy
- Ridgeland, MS
National Provider Identifier
1164968624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 15113/1.1
- Legal business name
- SAVER EXPRESS LLC
- Practice address
- 1051 Highland Colony Pkwy Ste C
Ridgeland, MS 39157-7701 - Phone
- (601) 368-8907
- Fax
- (800) 843-9320
- NPI assigned
- Jan 9, 2017
- Last updated
- Mar 27, 2017
- 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
- Ford Mundy
- Title
- Owner
- Phone
- (601) 990-9497
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 15113/1.1 | MS | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1051 Highland Colony Pkwy Ste C
Ridgeland, MS 39157-7701
Mailing address
1051 Highland Colony Pkwy Ste C
Ridgeland, MS 39157-7701
Phone (601) 368-8907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167226 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170421000852 | MS | Part B Supplier - Pharmacy | 6901182278 | Practice locations: Ridgeland, MS |
National Provider Directory
National Provider DirectoryLocations
1051 Highland Colony Pkwy
Ste C
Ridgeland, MS 39157
Phone (601) 368-8907
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.
-
- Pharmacist
- Brandon, MS
- NPI 1013685353
-
- Pharmacist
- Ridgeland, MS
- NPI 1861151029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490572800000",
"number": "1164968624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HIGHLAND COLONY PKWY STE C",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391577701",
"telephone_number": "601-368-8907",
"fax_number": "800-843-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HIGHLAND COLONY PKWY STE C",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391577701",
"telephone_number": "601-368-8907",
"fax_number": "800-843-9320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVER EXPRESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-09",
"last_updated": "2017-03-27",
"status": "A",
"authorized_official_last_name": "MUNDY",
"authorized_official_first_name": "FORD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-990-9497"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "15113/1.1",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167226",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.