Aps Pharmacy 801 LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0595626 Issued in MS

Legal business name

APS PHARMACY 801 LLC

Doing business as

APS Pharmacy #801, LLC

Practice address

480 Airport Industrial Dr
Southaven, MS 38671-5870

Phone

(662) 536-0384

Fax

(662) 536-4207

NPI assigned

May 18, 2006

Last updated

Jul 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bradford

Title

President

Phone

(662) 536-0384

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• APS Pharmacy #801, LLC Doing business as

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1336192939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 AIRPORT INDUSTRIAL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715870",
            "telephone_number": "662-536-0384",
            "fax_number": "662-536-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 AIRPORT INDUSTRIAL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715870",
            "telephone_number": "662-536-0384",
            "fax_number": "662-536-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APS PHARMACY 801 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-536-0384"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "0595626",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05908836",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APS Pharmacy #801, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zakiya Anderson
• Tonya Marie Andrews, PLPC, NCC
• Anesthesia Services Associates, PLLC.
• Appling Podiatry, PLLC
• Robert W Appling, D.P.M.
• Chaitanya Are, MD
• Aahan Arif
• Armstrong Counseling & Intensive Outpatient Services
• Stephanie Armstrong
• Tabitha Flowers Arrington, NURSE PRACTITIONER

• Long Term Care Pharmacy in Southaven, MS
• Providers in Southaven, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.