Loves Pharmacy & Gifts Inc
Organization Active NPI Community/Retail Pharmacy · Pass Christian, MS
NPI 1366754756 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1366754756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 08558/1.1 (MS)
- Legal business name
- LOVES PHARMACY & GIFTS INC
- Practice address
- 12345 Vidalia Rd
Pass Christian, MS 39571-8309 - Phone
- (228) 255-7800
- Fax
- (228) 255-9999
- NPI assigned
- Jul 14, 2010
- Organization subpart
- No
Authorized official
- Name
- William Love
- Title
- President
- Phone
- (228) 255-7800
Practitioners 2
-
Philip Albert McShane, PHARMD
-
William Russell Love Sr., R.PH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2292786 | Loves Pharmacy and Gifts Inc | Certificate of waiver | Oct 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201203000459 | MS | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789095340 | Practice locations: Pass Christian, MS |
National Provider Directory
Locations
12345 Vidalia Rd
Pass Christian, MS 39571
Phone (228) 255-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 08558/1.1 | MS | Yes |
Addresses
Primary practice location
12345 Vidalia Rd
Pass Christian, MS 39571-8309
Mailing address
12345 Vidalia Rd
Pass Christian, MS 39571-8309
Phone (228) 255-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125753 | Other | PK |
Other names
- Love's Pharmacy & Gifts, Inc.
Other providers in Pass Christian, MS
- In the Light Counseling LLC
- Katherine B Kidd
- Haley Kincaid
- Dawn Lafontaine
- Living Waters Community Medical Center PLLC
- Chelsea Irene Mazzulo
- Natalie McGraw
- Stephanie A. McLeod
- Jessica Marie McMichael
- Philip Albert McShane
All providers in Pass Christian, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.