Organization Active NPI

LTC Pharmacy Solutions LLC

Doing business as LTC Pharmacy Solutions

  • Long Term Care Pharmacy
  • Tupelo, MS
National Provider Identifier
1255342762
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0728023 Issued in MS
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05101749MedicaidMS
2047300OtherPK
5101749MedicaidMS

Other names 1

  • LTC PHARMACY SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.