Shiloh Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16600 Issued in MS

Legal business name

SHILOH APOTHECARY INC

Practice address

2049 E Shiloh Rd
Corinth, MS 38834-3726

Phone

(662) 594-1573

Fax

(662) 594-1628

NPI assigned

Nov 19, 2017

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond Lafayette Mathis, PHARM.D.NPI 1730457847

Title

President/Owner

Phone

(662) 594-1573

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Lafayette Mathis, PHARM.D.

  • Pharmacist
  • Corinth, MS
  • NPI 1730457847
  NPD Authorized official

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1396259966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343726",
            "telephone_number": "662-594-1573",
            "fax_number": "662-594-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343726",
            "telephone_number": "662-594-1573",
            "fax_number": "662-594-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "662-594-1573",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "16600",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06132758",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Sharifi, MD
• Marryum Rizwan Sheikh, MD
• Sherrill B Stewart,MDPC (Sherrrill B Stewart MD)
• Sherry D. Callahan (North Corinth Family Clinic)
• Odia Shields
• Shiloh Neurology
• Shiloh Neurology PC
• Shiloh Ridge Athletic Club
• Shipp & Wooten Eye Center PLLC
• Shipp Eye Clinic, PC

• Community/Retail Pharmacy in Corinth, MS
• Providers in Corinth, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.