Southern Pharmacy Clinical Management

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

SOUTHERN PHARMACY CLINICAL MANAGEMENT

Practice address

3224 Dijon Ave
Ocean Springs, MS 39564-8520

Phone

(228) 363-0500

Fax

(800) 651-3566

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Tammy Neron

Title

Partner Ceo

Phone

(228) 363-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Pharmacy Rx Doing business as

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1295268985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 DIJON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648520",
            "telephone_number": "228-363-0500",
            "fax_number": "800-651-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 DIJON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648520",
            "telephone_number": "228-363-0500",
            "fax_number": "800-651-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHARMACY CLINICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "NERON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PARTNER CEO",
        "authorized_official_telephone_number": "228-363-0500"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MS BUSINESS ID",
            "identifier": "1112650",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Clinic Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.