Professional Pharmacy, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Tylertown, MS
NPI 1245382811 · NPPES record last updated Jun 30, 2010
Key facts
- NPI
- 1245382811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 02151 01.1 (MS)
- Legal business name
- PROFESSIONAL PHARMACY, INC.
- Practice address
- 201 Hospital Dr
Tylertown, MS 39667-2019 - Phone
- (601) 876-2487
- Fax
- (601) 876-0222
- NPI assigned
- Jan 17, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- PROFESSIONAL PHARMACY, INC.
Authorized official
- Name
- Ms. Karen Smith, R.PH.
- Title
- President
- Phone
- (601) 876-2487
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Professional Pharmacy Inc
- Part of
- Professional Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02151 01.1 | MS | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040053 | Medicaid | MS |
Other names
- Professional Pharmacy DME
Other providers in Tylertown, MS
- Lavarshia Newsome-Pittman
- Ngu,LLC
- Physiotherapy Associates, Inc.
- Pigott'S Drug Store
- Rebecca Ponthieux
- Professional Pharmacy, Inc.
- Quality of Life Activities Center
- Belinda May Ratcliff
- Yumeka Ratliff
- Shakita Diane Rawls
All providers in Tylertown, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.