NPIMap

Organization Active NPI

Community Home Care Pharmacy Inc.

Doing business as Failla's Vital Care

  • Long Term Care Pharmacy
  • Picayune, MS
National Provider Identifier
1346279015
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
05766/02.0 Issued in MS
Legal business name
COMMUNITY HOME CARE PHARMACY INC.
Doing business as
Failla's Vital Care
Practice address
110 Highway 11 N
Suite a
Picayune, MS 39466-3312
Phone
(601) 798-4830
Fax
(601) 798-4825
NPI assigned
Jul 3, 2006
Last updated
Jun 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Mr. Andrew L. Failla, RPHNPI 1093933798
Title
President
Phone
(601) 798-4846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 05766/02.0 MS
Customized Equipment (DME) 332BC3200X 05766/02.0 MS
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 05766/02.0 MS
Oxygen Equipment & Supplies (DME) 332BX2000X 05766/02.0 MS
Pharmacy 333600000X 05766/02.0 MS
Community/Retail Pharmacy 3336C0003X 05766/02.0 MS
Home Infusion Therapy Pharmacy 3336H0001X 05766/02.0 MS
Long Term Care Pharmacy 3336L0003X 05766/02.0 MS Primary
Long Term Care Pharmacy 3336L0003X NU
Mail Order Pharmacy 3336M0002X 05766/02.0 MS
Specialty Pharmacy 3336S0011X 05766/02.0 MS

Addresses

Primary practice location

110 Highway 11 N
Suite a
Picayune, MS 39466-3312

Mailing address

PO Box 10
Picayune, MS 39466
Phone (601) 798-4846

Other identifiers 6

IdentifierTypeStateIssuer
00040327MedicaidMS
1262846MedicaidMS
000015704OtherMSBCBS
01155851MedicaidMS
0576611.2OtherMSMS BOARD OF PHARMACY
000015706OtherMSBCBS OF MS

Other names 2

  • Failla's Vital Care Doing business as
  • Failla's Vital Care Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930009541 MS DME Supplier - Pharmacy 3971402819 Practice locations: Picayune, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Community Home Care Pharmacy Inc110 Highway 11 N, Picayune, MS 39466-3312(601) 798-4846 Nebulizer Drugs Does not accept assignmentParticipating since Aug 11, 2003

National Provider Directory

National Provider Directory

Locations

110 Highway 11 N
Ste A
Picayune, MS 39466
Phone (601) 798-4830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1346279015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-798-4846",
            "fax_number": "601-798-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 11 N",
            "address_2": "SUITE A",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663312",
            "telephone_number": "601-798-4830",
            "fax_number": "601-798-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-798-4846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "05766/02.0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040327",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262846",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000015704",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155851",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF PHARMACY",
            "identifier": "0576611.2",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "000015706",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Failla's Vital Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Failla's Vital Care Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.