Pharmakeus Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01771/1.1 Issued in MS

Legal business name

PHARMAKEUS INC

Doing business as

MARTYS PHARMACY AND COMPOUNDING CENTER

Practice address

1042 River Oaks Dr
Flowood, MS 39232-9594

Phone

(601) 932-2027

Fax

(601) 936-2166

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ronnie Bagwell, RPH

Title

Owner and President

Phone

(601) 932-2027

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MARTYS PHARMACY AND COMPOUNDING CENTER Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1174695233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329594",
            "telephone_number": "601-932-2027",
            "fax_number": "601-936-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329594",
            "telephone_number": "601-932-2027",
            "fax_number": "601-936-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAKEUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "601-932-2027",
        "authorized_official_credential": "RPH"
    },
    "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": "01771/1.1",
            "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": "2044831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330225",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTYS PHARMACY AND COMPOUNDING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Breann Pertuit, FNP
• Michael Peterson, LLC
• Michelle A Petro, MD
• Elliott Pettus
• Pharmakan, Inc
• Francis M Phillippi IV, MD
• Danielle Phillips, FNP
• Edward K. Phillips, M.D.
• Nicholas Phillips
• Physician Hospice Care LLC

• Community/Retail Pharmacy in Flowood, MS
• Providers in Flowood, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.