Active NPI
First Choice Pharmacy, LLC
- Community/Retail Pharmacy
- Brooksville, MS
National Provider Identifier
1417714064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FIRST CHOICE PHARMACY, LLC
- Practice address
- 89 Ms Hwy 388
Brooksville, MS 39739 - Phone
- (662) 251-5029
- Fax
- (662) 738-5454
- NPI assigned
- Feb 29, 2024
- Last updated
- Dec 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Glover
- Title
- Manager
- Phone
- (662) 251-5029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
89 Ms Hwy 388
Brooksville, MS 39739
Mailing address
PO Box 466
Macon, MS 39341-0466
Phone (662) 251-5029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250127000119 | MS | Part B Supplier - Pharmacy | 3870022510 | Practice locations: Brooksville, MS |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Brooksville, MS
- NPI 1912819012
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Brooksville, MS
- NPI 1821243924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1417714064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 466",
"city": "MACON",
"state": "MS",
"postal_code": "393410466",
"telephone_number": "662-251-5029",
"fax_number": "662-738-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MS HWY 388",
"city": "BROOKSVILLE",
"state": "MS",
"postal_code": "39739",
"telephone_number": "662-251-5029",
"fax_number": "662-738-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-29",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "662-251-5029"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, MS
- Brooksville Medical Clinic Inc
- Drayer Physical Therapy Institute LLC (Rehab At Work)
- Drayer Physical Therapy Mississippi LLC (Rehab At Work)
- First Choice Family Medical Clinic, LLC
- First Choice Pharmacy-LTC
- Mary Ashley Hammons, MS CCC SLP
- Karla Jernigan, FNP
- Rachel Marie Lafferty, PT
- Macon City Drug Store, Inc. (Brooksville Drug Store)
- John C Mason, PHARM/D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.