NPIMap

Organization Active NPI

Pharm Services Inc.

  • Pharmacist
  • Indianola, MS
National Provider Identifier
1386681369
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
D05311 Issued in MS
Legal business name
PHARM SERVICES INC.
Practice address
1510 Highway 82 E
Indianola, MS 38751-2339
Phone
(662) 887-5004
Fax
(662) 887-1002
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Gerald Wayne Pugh
Title
President
Phone
(662) 887-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X D05311 MS Primary

Addresses

Primary practice location

1510 Highway 82 E
Indianola, MS 38751-2339

Mailing address

1510 Highway 82 E
Indianola, MS 38751-2339
Phone (662) 887-5004

Other identifiers 1

IdentifierTypeStateIssuer
00330351MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1386681369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HIGHWAY 82 E",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512339",
            "telephone_number": "662-887-5004",
            "fax_number": "662-887-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HIGHWAY 82 E",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512339",
            "telephone_number": "662-887-5004",
            "fax_number": "662-887-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-887-5004"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "D05311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.