Organization Active NPI

Thomas Street Compounding Pharmacy

  • Pharmacy
  • Tupelo, MS
National Provider Identifier
1457973067
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THOMAS STREET COMPOUNDING PHARMACY
Practice address
115 N Thomas St Ste G
Tupelo, MS 38801-3082
Phone
(662) 844-8552
Fax
(662) 844-8504
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Natalya Wigginton, PHARMDNPI 1255953857
Title
Pharmacist
Phone
(662) 844-8552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

115 N Thomas St Ste G
Tupelo, MS 38801-3082

Mailing address

115 N Thomas St Ste G
Tupelo, MS 38801-3082
Phone (662) 844-8552

National Provider Directory

National Provider Directory

Locations

115 N Thomas St
Ste G
Tupelo, MS 38801
Phone (662) 844-8552

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1457973067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N THOMAS ST STE G",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013082",
            "telephone_number": "662-844-8552",
            "fax_number": "662-844-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N THOMAS ST STE G",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013082",
            "telephone_number": "662-844-8552",
            "fax_number": "662-844-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS STREET COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "WIGGINTON",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "662-844-8552",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.