NPIMap

Organization Active NPI

Pharmacy Management Group

  • Community/Retail Pharmacy
  • Starkville, MS
National Provider Identifier
1174568240
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07472 Issued in MS
Legal business name
PHARMACY MANAGEMENT GROUP
Practice address
200 Hospital Rd
BLDG 3 Professional Plaza
Starkville, MS 39759
Phone
(662) 323-0885
Fax
(662) 323-7298
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Ron Harris
Title
Ceo Mang Member
Phone
(662) 327-4025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 07472 MS Primary

Addresses

Primary practice location

200 Hospital Rd
BLDG 3 Professional Plaza
Starkville, MS 39759

Mailing address

101 12TH St S
Columbus, MS 39701-5830

Other identifiers 3

IdentifierTypeStateIssuer
00330538MedicaidMS
2520131OtherOTHER ID NUMBER
2520131OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • TOTAL CARE PHARMACY OF STARKVILLE 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

101 12th St S
Columbus, MS 39701

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1174568240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 12TH ST S",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397015830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL RD",
            "address_2": "BLDG 3 PROFESSIONAL PLAZA",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-0885",
            "fax_number": "662-323-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO MANG MEMBER",
        "authorized_official_telephone_number": "662-327-4025"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "07472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330538",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2520131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2520131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL CARE PHARMACY OF STARKVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.