First Pharmacy Services 5

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

13864/4.1 Issued in MS

Legal business name

FIRST PHARMACY SERVICES 5

Doing business as

First Pharmacy Services #5

Practice address

6888 Goodman Rd Ste 122
Olive Branch, MS 38654-8761

Phone

(662) 349-3300

Fax

(662) 349-3311

NPI assigned

Jun 16, 2011

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Pratt

Title

Vice President

Phone

(662) 349-3300

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• FIRST PHARMACY SERVICES #5 Doing business as

Locations

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1184919268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "POPE",
            "state": "MS",
            "postal_code": "386580047",
            "telephone_number": "662-349-3300",
            "fax_number": "662-349-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 GOODMAN RD STE 122",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548761",
            "telephone_number": "662-349-3300",
            "fax_number": "662-349-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHARMACY SERVICES 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "662-349-3300"
    },
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "13864/4.1",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST PHARMACY SERVICES #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FIRST PHARMACY SERVICES #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetrice Fields-Knight
• Silver Astria Fields, LPN
• Finding Your Truth Counseling Services
• First Counseling Inc
• First Counseling Services Inc
• Kaylee Fisher, LMSW, LCSW
• Terrea Shenese Fleming
• Flemons Prosthetics
• Shelly L Flowers, FNP
• Manessha Teneal Floyd

• Long Term Care Pharmacy in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.