Organization Active NPI

Proxsys RX - Rush, LLC

Doing business as The Pharmacy at Rush

  • Community/Retail Pharmacy
  • Meridian, MS
National Provider Identifier
1316363583
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13169 Issued in MS
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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)CodeLicenseStatePrimary
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 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

Locations

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.

Verify at the official NPI Registry.