NPIMap

Organization Active NPI

Access Family Health Services, Inc.

Doing business as Access Family Health - In-House Pharmacy

  • Community/Retail Pharmacy
  • Smithville, MS
National Provider Identifier
1376921569
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ACCESS FAMILY HEALTH SERVICES, INC.
Doing business as
Access Family Health - In-House Pharmacy
Practice address
60021 Monroe St
Smithville, MS 38870-7779
Phone
(662) 651-4637
Fax
(662) 651-4636
NPI assigned
May 8, 2015
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Mrs. Marilyn Sumerford
Title
Executive Director
Phone
(662) 651-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

60021 Monroe St
Smithville, MS 38870-7779

Mailing address

PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637

Other identifiers 1

IdentifierTypeStateIssuer
007136563MedicaidMS

Other names 1

  • Access Family Health - In-House Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150918001780 MS Part B Supplier - Pharmacy 4082509492 1 other NPI on this enrollment
Practice locations: Smithville, MS; Tremont, MS

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Access Family Health Ho21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access Family Health - Houlka ClinicHoulka, MS, CCN 251818 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Tremont ClinicTremont, MS, CCN 251820 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Smithville ClinicSmithville, MS, CCN 251821 Federally qualified health center Operational/Managerial Control Sep 6, 1978
Access Family Health - Nettleton ClinicNettleton, MS, CCN 251049 Federally qualified health center Operational/Managerial Control (100%) Sep 6, 1978
Access Family Health - Okolona HighOkolona, MS, CCN 251074 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - Okolona ElementaryOkolona, MS, CCN 251080 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - South PontotocPontotoc, MS, CCN 251076 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - North PontotocEcru, MS, CCN 251075 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - HamiltonHamilton, MS, CCN 251077 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - SmithvilleSmithville, MS, CCN 251079 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - HatleyAmory, MS, CCN 251078 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018
Access School Health - Pontotoc MainPontotoc, MS, CCN 251091 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2019
Access School Health - TremontTremont, MS, CCN 251100 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2019
Access School Health - NettletonNettleton, MS, CCN 251108 Federally qualified health center Operational/Managerial Control (100%) Aug 3, 2020

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1376921569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700305",
            "telephone_number": "662-651-4637",
            "fax_number": "662-651-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60021 MONROE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388707779",
            "telephone_number": "662-651-4637",
            "fax_number": "662-651-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FAMILY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SUMERFORD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-651-4686",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007136563",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Family Health - In-House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Family Health - In-House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, MS

Sources for this page

Verify at the official NPI Registry.