NPIMap

Organization Active NPI

Southwest Pharmacy Inc

Doing business as Guy's Pharmacy of Brookhaven

  • Community/Retail Pharmacy
  • Brookhaven, MS
National Provider Identifier
1285987461
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11696/1.1 Issued in MS
Legal business name
SOUTHWEST PHARMACY INC
Doing business as
Guy's Pharmacy of Brookhaven
Practice address
1005 W Congress St
Brookhaven, MS 39601-2603
Phone
(601) 684-4127
Fax
(601) 684-8479
NPI assigned
Oct 24, 2012
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joe Keith Guy, RPHNPI 1306858253
Title
President
Phone
(601) 684-4127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11696/1.1 MS Primary
Compounding Pharmacy 3336C0004X 11696/1.1 MS

Addresses

Primary practice location

1005 W Congress St
Brookhaven, MS 39601-2603

Mailing address

312 Marion Ave
McComb, MS 39648-2708
Phone (601) 684-4127

Other names 1

  • Guy's Pharmacy of Brookhaven Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2050920Guy's Pharmacy of Brookhaven1005 W Congress Street, Brookhaven, MS 39601Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Southwest Pharmacy Inc8 organizations share this tax ID, including this one
Part of
Southwest Pharmacy Inc

Other organizations with this tax ID 7

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

Locations

1005 W Congress St
Brookhaven, MS 39601
Phone (601) 833-6333

312 Marion Ave
McComb, MS 39648
Phone (601) 684-9602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1285987461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-684-4127",
            "fax_number": "601-684-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-684-4127",
            "fax_number": "601-684-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST PHARMACY INC.",
        "enumeration_date": "2012-10-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-684-4127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "11696/1.1",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "11696/1.1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Pharmacy of Brookhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.