The Pharos Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE PHAROS INC.

Practice address

300 Sunflower Rd Apt 20
Itta Bena, MS 38941-2730

Phone

(662) 422-9877

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By 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

Ms. Kizmet Cleveland

Title

Executive Director

Phone

(662) 422-9877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1407137086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUNFLOWER RD APT 20",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "389412730",
            "telephone_number": "662-422-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUNFLOWER RD APT 20",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "389412730",
            "telephone_number": "662-422-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHAROS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "KIZMET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-422-9877",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.