Active NPI
Proxsys RX - Rush, LLC
- Community/Retail Pharmacy
- Pascagoula, MS
National Provider Identifier
1265817522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 14415
- Legal business name
- PROXSYS RX - RUSH, LLC
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-2110
- Fax
- (727) 286-2712
- NPI assigned
- Jul 28, 2015
- 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
- Joel Wright
- Title
- President Pharmacy Services
- Phone
- (806) 242-7782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 14415 | MS | Primary |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
320 S Polk St Ste 200
Amarillo, TX 79101-1436
Phone (806) 242-7782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05222795 | Medicaid | MS |
Other names 1
- The Pharmacy at Singing River
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181204000161 | MS | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789936923 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pascagoula, MS; Ocean Springs, MS; Dekalb, MS; McComb, MS |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Proxsys RX - Rush LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Dekalb, MS
- NPI 1285270801
-
- Community/Retail Pharmacy
- Ocean Springs, MS
- NPI 1376928630
-
- Community/Retail Pharmacy
- McComb, MS
- NPI 1720530298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1265817522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S POLK ST STE 200",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791011436",
"telephone_number": "806-242-7782",
"fax_number": "727-286-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815301",
"telephone_number": "228-809-2110",
"fax_number": "727-286-2712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROXSYS RX - RUSH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
"authorized_official_telephone_number": "806-242-7782"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "14415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05222795",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pharmacy at Singing River",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Pharmacy at Singing River",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.