Innovative Pharmacy Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

03331/02.0 Issued in MS

Legal business name

INNOVATIVE PHARMACY SERVICES INC

Doing business as

Guy's Innovative Pharmacy Vital Care

Practice address

312B Marion Ave
McComb, MS 39648-2708

Phone

(601) 684-4127

Fax

(601) 684-8479

NPI assigned

Jun 13, 2006

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joe Keith Guy, RPHNPI 1306858253

Title

President

Phone

(601) 684-4127

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Guy's Innovative Pharmacy Vital Care Doing business as

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.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Joe Keith Guy, RPH

  • Pharmacist
  • McComb, MS
  • NPI 1306858253
  NPD Authorized official
• Robert Wilson Ratliff, RPH., PHD

  • Pharmacist
  • McComb, MS
  • NPI 1366715393
  NPD (past)
• Pamela Luke Thompson, RPH

  • Pharmacist
  • McComb, MS
  • NPI 1730430885
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1467495234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312B MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-684-4127",
            "fax_number": "601-684-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312B MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-684-4127",
            "fax_number": "601-684-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-684-4127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "03331/02.0",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "0331/02.0",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "03331/02.0",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "03331/02.0",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "03331/02.0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07879769",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00579729",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "000030276",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04784248",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Innovative Pharmacy Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Hurst
• Yvonne Denise Hutto, FNP-C
• James D Hux, RPH
• Inner Peace Living, Inc
• Innovative Healthcare Management LLC
• Inspired Healthcare Staffing LLC
• John Mark Irby, FNP
• Megan Ivy Jones
• Jackson Vamc
• Cindy Jackson

• Durable Medical Equipment & Medical Supplies in McComb, MS
• Providers in McComb, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.