Medworx Compounding LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

11588/2.2 Issued in TN

Legal business name

MEDWORX COMPOUNDING LLC

Practice address

950 E County Line Rd Ste a
Ridgeland, MS 39157-1928

Phone

(601) 859-5008

Fax

(601) 203-2941

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Laura Cialone

Title

Pharmacist

Phone

(601) 859-5008

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medworx Compounding, LLC Doing business as

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1336490168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E COUNTY LINE RD STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571928",
            "telephone_number": "601-859-5008",
            "fax_number": "601-203-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E COUNTY LINE RD STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571928",
            "telephone_number": "601-859-5008",
            "fax_number": "601-203-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORX COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "CIALONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-859-5008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "11588/2.2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medworx Compounding, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mea Primary Care Plus LLC
• Mea Primary Care Plus, LLC
• Med-South, Inc.
• Medical Supplies Unlimited Inc
• Medicomp Physical Therapy Ridgeland, Inc.
• Medworx Home Medical Supplies LLC
• Jamie Beth Meeks, CCC-SLP
• Meghan Burns Counseling LLC
• Constance A Menz, PTA
• David L. Merideth, M.D.

• Compounding Pharmacy in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.