Active NPI
LTC Pharmacy Solutions LLC
Doing business as LTC Pharmacy Solutions
- Long Term Care Pharmacy
- Tupelo, MS
National Provider Identifier
1255342762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0728023
- Legal business name
- LTC PHARMACY SOLUTIONS LLC
- Doing business as
- LTC Pharmacy Solutions
- Practice address
- 2801 W Main St
Tupelo, MS 38801-3001 - Phone
- (662) 840-6411
- Fax
- (877) 840-0456
- NPI assigned
- Aug 10, 2006
- Last updated
- Feb 21, 2017
- 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
- Melinda Hyre
- Title
- Director of Pharmacy
- Phone
- (662) 840-6411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 0728023 | MS | Primary |
Addresses
Primary practice location
2801 W Main St
Tupelo, MS 38801-3001
Mailing address
PO Box 3308
Tupelo, MS 38803-3308
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05101749 | Medicaid | MS | |
| 2047300 | Other | PK | |
| 5101749 | Medicaid | MS |
Other names 1
- LTC PHARMACY SOLUTIONS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1255342762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3308",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W MAIN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388013001",
"telephone_number": "662-840-6411",
"fax_number": "877-840-0456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTC PHARMACY SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "HYRE",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "662-840-6411"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "0728023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05101749",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2047300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5101749",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LTC PHARMACY SOLUTIONS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.