Organization Active NPI

Mays Pharmacy

  • Community/Retail Pharmacy
  • Senatobia, MS
National Provider Identifier
1265576995
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
001421011 Issued in MS
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

Updated by the provider on Oct 23, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2507070OtherNCPDP
00440606OtherMSMEDICAID DME
069016541OtherMSSTATE TAX ID
0033073MedicaidMS

Other names 1

  • Mays Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.