Pioneer Health Services of Monroe County, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.

Practice address

502 Jackson St
Suite 5
Aberdeen, MS 39730-3300

Phone

(662) 369-9500

NPI assigned

Aug 13, 2015

Organization subpart

No

Name

Joseph McNulty III

Title

Ceo

Phone

(601) 849-6440

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

• Pioneer Family Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1932227089
  NPD tax ID

Tax ID family

Pioneer Family Pharmacy (2 organizations share this tax ID)

• Pioneer Walk In Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2015.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1477929495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 JACKSON ST",
            "address_2": "SUITE 5",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303300",
            "telephone_number": "662-369-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 JACKSON ST",
            "address_2": "SUITE 5",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303300",
            "telephone_number": "662-369-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pioneer Health Services of Monroe County, Inc
• Pioneer Health Services of Monroe County, Inc
• Pioneer Health Services of Monroe County, Inc
• Pioneer Health Services of Monroe County, Inc.
• Pioneer Health Services of Monroe County, Inc.
• Pioneer Health Services of Monroe County, Inc.
• Pioneer Health Services of Monroe County, Inc.
• Pioneer Health Services of Monroe County, Inc.
• Barry Prather, D.P.T.
• Premier Eye Care, PLLC

• All providers in Aberdeen, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.