Active NPI
Proxsys RX - Rush, LLC
Doing business as The Pharmacy at Rush
- Community/Retail Pharmacy
- Meridian, MS
National Provider Identifier
1316363583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13169
- Legal business name
- PROXSYS RX - RUSH, LLC
- Doing business as
- The Pharmacy at Rush
- Practice address
- 1800 12TH St
First Floor, Suite 1
Meridian, MS 39301-4158 - Phone
- (601) 703-9642
- Fax
- (601) 703-9415
- NPI assigned
- Mar 12, 2014
- Last updated
- Oct 12, 2023
- 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
- Billy Ray Calhoun
- Title
- Coo
- Phone
- (205) 533-9119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 13169 | MS | Primary |
Addresses
Primary practice location
1800 12TH St
First Floor, Suite 1
Meridian, MS 39301-4158
Mailing address
1500 Urban Center Dr Ste 325
Vestavia, AL 35242-2205
Phone (205) 533-9119
Other names 1
- The Pharmacy at Rush
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.
-
dba Stennis Community Pharmacy
- Community/Retail Pharmacy
- De Kalb, MS
- NPI 1285270801
O20181204000161
-
dba The Pharmacy at Ocean Springs
- Community/Retail Pharmacy
- Ocean Springs, MS
- NPI 1376928630
O20181204000161
-
dba The Pharmacy at the Medical Center
- Community/Retail Pharmacy
- McComb, MS
- NPI 1720530298
O20181204000161
-
dba The Pharmacy at Singing River
- Community/Retail Pharmacy
- Pascagoula, MS
- NPI 1265817522
O20181204000161
National Provider Directory
National Provider DirectoryLocations
1800 12th St
Fl First
Meridian, MS 39301
Phone (601) 703-9642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1316363583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 URBAN CENTER DR STE 325",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352422205",
"telephone_number": "205-533-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"address_2": "FIRST FLOOR, SUITE 1",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9642",
"fax_number": "601-703-9415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROXSYS RX - RUSH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "CALHOUN",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "205-533-9119"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "13169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pharmacy at Rush",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Pharmacy at Rush",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.