R & D Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Saucier, MS
NPI 1386776300 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1386776300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 024-19742-8 (MS)
- Legal business name
- R & D PHARMACY LLC
- Practice address
- 23457 Central Dr
Suite a
Saucier, MS 39574-7521 - Phone
- (228) 832-1898
- Fax
- (228) 832-1891
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Bradley Strickland
- Title
- Manager
- Phone
- (228) 832-1898
Practitioners 1
-
Jennifer Beckham, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220819001981 | MS | Part B Supplier - Pharmacy | 8325421555 | Practice locations: Saucier, MS |
National Provider Directory
Locations
23457 Central Dr
#R
Saucier, MS 39574
Phone (228) 832-1898
23457 Central Dr
Saucier, MS 39574
Phone (228) 832-1898
23457 Central Dr
#A
Saucier, MS 39574
Phone (228) 832-1898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 024-19742-8 | MS | Yes |
Addresses
Primary practice location
23457 Central Dr
Suite a
Saucier, MS 39574-7521
Mailing address
PO Box 218
Saucier, MS 39574-0218
Phone (228) 832-1898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00330160 | Medicaid | MS |
Other names
- R & D Pharmacy
Other providers in Saucier, MS
- Nathan Ladner
- Thomas Anthony Mayer
- Molly Morris
- Nateladner LLC
- Jonathan Platner
- Je Song
- Southern Monitoring Innovations LLC
- Angel D Summers
- Mollie Kristine Winter
All providers in Saucier, 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 Jul 11, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.