Organization Active NPI

Turtle Creek Pharmacy, LLC

  • Community/Retail Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1215828322
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TURTLE CREEK PHARMACY, LLC
Practice address
4 Willow PT Ste 70
Hattiesburg, MS 39402-1150
Phone
(512) 203-3250
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
John Bonine
Title
Ceo/President
Phone
(512) 203-3250

Specialties & licenses 1

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

Addresses

Primary practice location

4 Willow PT Ste 70
Hattiesburg, MS 39402-1150

Mailing address

4 Willow PT Ste 70
Hattiesburg, MS 39402-1150

National Provider Directory

National Provider Directory

Locations

4 Willow Pt
Ste 70
Hattiesburg, MS 39402
Phone (512) 203-3250

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1215828322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW PT STE 70",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILLOW PT STE 70",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150",
            "telephone_number": "512-203-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE CREEK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "BONINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "512-203-3250"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.