Magnolia Drug Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAGNOLIA DRUG CO., LLC

Practice address

131 Highway 51 N
Batesville, MS 38606-2358

Phone

(662) 487-6268

Fax

(662) 487-6278

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Crystie Sheree Moorman, PHARMDNPI 1679868509

Title

Pharmacist/Owner

Phone

(662) 487-6268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystie Sheree Moorman, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Batesville, MS
  • NPI 1679868509
  NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1366013179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062358",
            "telephone_number": "662-487-6268",
            "fax_number": "662-487-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062358",
            "telephone_number": "662-487-6268",
            "fax_number": "662-487-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DRUG CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "CRYSTIE",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "662-487-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Lee Linder, M.D.
• Hilary Barringer Lott, FNP-C
• Bobby Gerald Maddox III, D.P.T.
• Magnolia Counseling
• Magnolia Counseling Clinic
• Magnolia Rural Health Corporation
• Ada Eugena Mallory
• Jessica Marie Mann
• Robert D Mayfield MD, MD
• Timmy Lee McCoy Sr., FNP-C

• Community/Retail Pharmacy in Batesville, MS
• Providers in Batesville, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.