Organization Active NPI

Rocky L McGarity Inc

  • Community/Retail Pharmacy
  • Lucedale, MS
National Provider Identifier
1417900291
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01104/1.1 Issued in MS
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

Updated by the provider on May 12, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2043800OtherPK
0330314MedicaidMS
0440455MedicaidMS

Other names 1

  • Edwards Discount Drugs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.