MMSS Ancillary Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

10146/2.3 Issued in MS

Legal business name

MMSS ANCILLARY SERVICES INC

Doing business as

Senior Rx

Practice address

2800 W Main St
Tupelo, MS 38801-3027

Phone

(662) 840-1022

Fax

(662) 844-4677

NPI assigned

Dec 29, 2011

Last updated

Nov 18, 2016By 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

Valerie SullivanNPI 1649648189

Title

Director of Pharmacy Services

Phone

(662) 840-1022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Senior Rx Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Faye Sullivan, RPH

  • Pharmacist
  • Tupelo, MS
  • NPI 1649648189
  Authorized official Same address or phone

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1245509728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013027",
            "telephone_number": "662-840-1022",
            "fax_number": "662-840-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013027",
            "telephone_number": "662-840-1022",
            "fax_number": "662-844-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMSS ANCILLARY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "662-840-1022"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "10146/2.3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Mitchell, DO
• Kristin Mitchell, M.D.
• Mary Ellen Mitchell, MSN,FNP
• Jennifer Stewart Mize, AU.D., CCC-A
• Lori Mize, FNP
• Pranav Modi, MBBS
• Hollie Dulaney Moffatt, PMHNP-BC
• Rayyan Mohammed, DO
• Molecular and Diagnostic Testing Labs of America
• David Monaghan, M.D.

• Long Term Care Pharmacy in Tupelo, MS
• Providers in Tupelo, 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 Nov 18, 2016; 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.