NPIMap

Organization Active NPI

Proxsys RX - Rush LLC

Doing business as Stennis Community Pharmacy

  • Community/Retail Pharmacy
  • De Kalb, MS
National Provider Identifier
1285270801
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROXSYS RX - RUSH LLC
Doing business as
Stennis Community Pharmacy
Practice address
16040 Ms 16 E
Dekalb, MS 39328-7918
Phone
(601) 751-2350
Fax
(469) 617-2051
NPI assigned
Nov 19, 2019
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16040 Ms 16 E
Dekalb, MS 39328-7918

Mailing address

320 S Polk St Ste 200
Amarillo, TX 79101-1436
Phone (806) 242-7782

Other names 1

  • Stennis Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14916 Highway 16 W
Unit 1
De Kalb, MS 39328

206 Marion Ave
McComb, MS 39648
Phone (601) 250-4400

215 Marion Ave
Ste 200
McComb, MS 39648
Phone (601) 250-4400

7601 Southcrest Pkwy
Ste 100
Southaven, MS 38671
Phone (662) 253-8206

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1285270801",
    "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": "469-617-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 MS 16 E",
            "city": "DEKALB",
            "state": "MS",
            "postal_code": "393287918",
            "telephone_number": "601-751-2350",
            "fax_number": "469-617-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXSYS RX - RUSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-05-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stennis Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stennis Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Kalb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.