Active NPI
Turtle Creek Pharmacy, LLC
- Community/Retail Pharmacy
- Hattiesburg, MS
National Provider Identifier
1215828322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.