Azalea Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12664/1.1 Issued in MS

Legal business name

AZALEA PHARMACY LLC

Practice address

1019 Government St
Suite F
Ocean Springs, MS 39564-3860

Phone

(228) 818-5111

Fax

(228) 818-5113

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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

Mr. Jeffrey Wayne Rollins

Title

Cfo

Phone

(228) 334-2411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1407283989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GOVERNMENT ST",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643942",
            "telephone_number": "228-818-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GOVERNMENT ST",
            "address_2": "SUITE F",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643860",
            "telephone_number": "228-818-5111",
            "fax_number": "228-818-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "228-334-2411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "12664/1.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Atwood
• Kimberly Jolene Austin, MS
• Vicki Autmon, NP
• Lauren Averett, NP
• Christopher Ayers, RPH
• Sardar Ijlal Babar, MD
• Alesha Rae Bailey, CCC-SLP
• Marian Bailey, FNP
• Justina Baklarz
• Michael Wayne Bales, R.PH.

• Community/Retail Pharmacy in Ocean Springs, MS
• Providers in Ocean Springs, 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 Sep 30, 2013; 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.