Active NPI
Rocky L McGarity Inc
- Community/Retail Pharmacy
- Lucedale, MS
National Provider Identifier
1417900291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 01104/1.1
- Legal business name
- ROCKY L MCGARITY INC
- Practice address
- 103 W Frontage Rd
Suite a
Lucedale, MS 39452-5836 - Phone
- (601) 947-4941
- Fax
- (601) 766-3010
- NPI assigned
- May 19, 2006
- 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
- Rocky McGarity, RPH
- Title
- Owner
- Phone
- (601) 947-4941
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 01104/1.1 | MS | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
103 W Frontage Rd
Suite a
Lucedale, MS 39452-5836
Mailing address
103 W Frontage Rd
Suite a
Lucedale, MS 39452-5836
Phone (601) 947-4941
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2043800 | Other | PK | |
| 0330314 | Medicaid | MS | |
| 0440455 | Medicaid | MS |
Other names 1
- Edwards Discount Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028193 | MS | DME Supplier - Pharmacy | 0749202109 | Practice locations: Lucedale, MS |
| O20111108000412 | MS | Part B Supplier - Mass Immunization (Roster Biller Only) | 0749202109 | Practice locations: Lucedale, MS |
National Provider Directory
National Provider Directory- Tax ID family
- Rocky L McGarity Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lucedale, MS
- NPI 1285135954
-
- Specialty Pharmacy
- Lucedale, MS
- NPI 1346342607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683849600000",
"number": "1417900291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W FRONTAGE RD",
"address_2": "SUITE A",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394525836",
"telephone_number": "601-947-4941",
"fax_number": "601-766-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W FRONTAGE RD",
"address_2": "SUITE A",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394525836",
"telephone_number": "601-947-4941",
"fax_number": "601-766-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY L MCGARITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "MCGARITY",
"authorized_official_first_name": "ROCKY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-947-4941",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "01104/1.1",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2043800",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330314",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440455",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EDWARDS DISCOUNT DRUGS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Edwards Discount Drugs",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lucedale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.