Pharmacy Innovations LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

14763 Issued in MS

Legal business name

PHARMACY INNOVATIONS LLC

Doing business as

Tupelo Drugs

Practice address

715 Garfield St
Tupelo, MS 38801-6339

Phone

(855) 612-1385

Fax

(855) 612-1386

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Amy Cochran

Title

Pharmacist in Charge

Phone

(855) 612-1385

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tupelo Drugs Doing business as

Locations

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1366803512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016339",
            "telephone_number": "855-612-1385",
            "fax_number": "855-612-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 GARFIELD ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016339",
            "telephone_number": "855-612-1385",
            "fax_number": "855-612-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "855-612-1385"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "14763",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159492",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01381865",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tupelo Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tupelo Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Louann Peterson, NP
• Emma Pettey
• Michael H Pettis, LCSW
• Brandon Heath Petty
• Shekiva Petty
• Pharmacy Management Group
• Clyde Bennett Phillips, MD
• John O Phillips, MD
• Keri V Phillips, RRA
• Lane Phillips

• Pharmacy in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.