The Transplant Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE TRANSPLANT PHARMACY, LLC

Practice address

630 Lakeland East Dr Ste B
Flowood, MS 39232-9565

Phone

(769) 230-8335

Fax

(769) 230-8337

NPI assigned

Apr 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Gulley, PHARMD.

Title

Vice President

Phone

(769) 230-8335

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Caredx Inc.

  • Clinical Medical Laboratory
  • Brisbane, CA
  • NPI 1689607384

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Taylor Vance, PHARMD

  • Pharmacist
  • Flowood, MS
  • NPI 1154207322
  NPD
• Bradley Alfonso

  • Pharmacist
  • Slidell, LA
  • NPI 1134505324
  NPD

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1437513876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 LAKELAND EAST DR STE B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329565",
            "telephone_number": "769-230-8335",
            "fax_number": "769-230-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LAKELAND EAST DR STE B",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329565",
            "telephone_number": "769-230-8335",
            "fax_number": "769-230-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRANSPLANT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "769-230-8335",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05207225",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hull Clinic of Gynecology
• The River Wellness LLC
• The Shepherd'S Staff
• The Strength Center LLC
• The Surgery Center LLC
• The Wellness Spa, LLC
• Therapeutic Connections, LLC
• Adele A Thiel, M.D.
• Donna A Thomas Ellis, CFNP
• Andric Thomas, D.C

• Community/Retail Pharmacy in Flowood, MS
• Providers in Flowood, 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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.