NPIMap

Organization Active NPI

Pharmacy Management Group

Doing business as Total Care Pharmacy of Tupelo

  • Compounding Pharmacy
  • Tupelo, MS
National Provider Identifier
1356538557
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
07473012 Issued in MS
Legal business name
PHARMACY MANAGEMENT GROUP
Doing business as
Total Care Pharmacy of Tupelo
Practice address
2590 W Main St
Tupelo, MS 38801-3150
Phone
(662) 407-0123
Fax
(662) 407-0124
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Ron Harris
Title
Ceo Mang Member
Phone
(662) 327-4025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 07473012 MS Primary

Addresses

Primary practice location

2590 W Main St
Tupelo, MS 38801-3150

Mailing address

101 12TH St S
Columbus, MS 39701-5830

Other identifiers 1

IdentifierTypeStateIssuer
2587004OtherOTHER ID NUMBER

Other names 1

  • TOTAL CARE PHARMACY OF TUPELO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Management Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2590 W Main St
Tupelo, MS 38801
Phone (662) 407-0123

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1356538557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 12TH ST S",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397015830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013150",
            "telephone_number": "662-407-0123",
            "fax_number": "662-407-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO MANG MEMBER",
        "authorized_official_telephone_number": "662-327-4025"
    },
    "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": "MS",
            "license": "07473012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2587004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL CARE PHARMACY OF TUPELO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.