Active NPI
Mays Pharmacy
- Community/Retail Pharmacy
- Senatobia, MS
National Provider Identifier
1265576995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 001421011
- Legal business name
- MAYS PHARMACY
- Doing business as
- Mays Pharmacy
- Practice address
- 4385 Hwy 51 South
Senatobia, MS 38668 - Phone
- (662) 562-8550
- Fax
- (662) 562-8747
- NPI assigned
- Feb 16, 2007
- 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
- Mr. Samuel Turman McNulty, RPH
- Title
- Pharmacist in Charge
- Phone
- (662) 562-8550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00440606 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 001421011 | MS | Primary |
Addresses
Primary practice location
4385 Hwy 51 South
Senatobia, MS 38668
Mailing address
PO Box 626
4385 Hwy 51 South
Senatobia, MS 38668
Phone (662) 562-8550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2507070 | Other | NCPDP | |
| 00440606 | Other | MS | MEDICAID DME |
| 069016541 | Other | MS | STATE TAX ID |
| 0033073 | Medicaid | MS |
Other names 1
- Mays Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930058019 | MS | DME Supplier - Pharmacy | 6608997333 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Senatobia, MS |
| O20181101000091 | MS | Part B Supplier - Pharmacy | 6608997333 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Senatobia, MS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Senatobia, MS
- NPI 1063223147
O20100930058019, O20181101000091
National Provider Directory
National Provider DirectoryLocations
4385 Highway 51 S
Senatobia, MS 38668
Phone (662) 562-8550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clarksdale, MS
- NPI 1922608306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540252800000",
"number": "1265576995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"address_2": "4385 HWY 51 SOUTH",
"city": "SENATOBIA",
"state": "MS",
"postal_code": "38668",
"telephone_number": "662-562-8550",
"fax_number": "662-562-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 HWY 51 SOUTH",
"city": "SENATOBIA",
"state": "MS",
"postal_code": "38668",
"telephone_number": "662-562-8550",
"fax_number": "662-562-8747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2018-10-23",
"status": "A",
"authorized_official_last_name": "MCNULTY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "TURMAN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "662-562-8550",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "00440606",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "001421011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2507070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "00440606",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE TAX ID",
"identifier": "069016541",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033073",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mays Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mays Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Senatobia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.