NPIMap

Organization Active NPI

Professional Pharmacy, Inc.

Doing business as Professional Pharmacy DME

  • Durable Medical Equipment & Medical Supplies
  • Tylertown, MS
National Provider Identifier
1245382811
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
02151 01.1 Issued in MS
Legal business name
PROFESSIONAL PHARMACY, INC.
Doing business as
Professional Pharmacy DME
Practice address
201 Hospital Dr
Tylertown, MS 39667-2019
Phone
(601) 876-2487
Fax
(601) 876-0222
NPI assigned
Jan 17, 2007
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PROFESSIONAL PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Ms. Karen Smith, R.PH.
Title
President
Phone
(601) 876-2487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02151 01.1 MS Primary

Addresses

Primary practice location

201 Hospital Dr
Tylertown, MS 39667-2019

Mailing address

201 Hospital Dr
Tylertown, MS 39667-2019
Phone (601) 876-2487

Other names 1

  • Professional Pharmacy DME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Professional Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Professional Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1245382811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672019",
            "telephone_number": "601-876-2487",
            "fax_number": "601-876-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672019",
            "telephone_number": "601-876-2487",
            "fax_number": "601-876-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL PHARMACY, INC.",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-876-2487",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "02151 01.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tylertown, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.