Active NPI
Advantage Apothecary, LLCF
- Specialty Pharmacy
- Hattiesburg, MS
National Provider Identifier
1477968980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 13438/2.2
- Legal business name
- ADVANTAGE APOTHECARY, LLCF
- Practice address
- 5296 Old Highway 11 Ste 4
Hattiesburg, MS 39402-8380 - Phone
- (601) 450-0294
- Fax
- (601) 450-0295
- NPI assigned
- Jun 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C. Pierce, PHARMD
- Title
- Pic
- Phone
- (601) 450-0294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | 13438/2.2 | MS | |
| Specialty Pharmacy | 3336S0011X | 13438/2.2 | MS | Primary |
Addresses
Primary practice location
5296 Old Highway 11 Ste 4
Hattiesburg, MS 39402-8380
Mailing address
5296 Old Highway 11 Ste 4
Hattiesburg, MS 39402-8380
Phone (601) 450-0294
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13438/2.2 | Other | MS | STATE BOARD PHARMACY PERMIT |
| CS13438/2.2 | Other | MS | STATE PHARMACY CONTROL SUBSTANCE PERMIT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403481600000",
"number": "1477968980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5296 OLD HIGHWAY 11 STE 4",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028380",
"telephone_number": "601-450-0294",
"fax_number": "601-450-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5296 OLD HIGHWAY 11 STE 4",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028380",
"telephone_number": "601-450-0294",
"fax_number": "601-450-0295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE APOTHECARY, LLCF",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "601-450-0294",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "MS",
"license": "13438/2.2",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "13438/2.2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD PHARMACY PERMIT",
"identifier": "13438/2.2",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY CONTROL SUBSTANCE PERMIT",
"identifier": "CS13438/2.2",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
- Akeem Adebayo, M.D
- Adeline After-Hour Care, LLC
- Administrators of the Tulane Educational Fund
- Advanced Hearing and Balance LLC
- Advanced Pain Therapy, PLLC
- Advantage Medical and Pharmaceutical, LLC (Pine Belt Medical Equipment)
- Advantage Medical Infusion LLC (AMI Rx)
- Advantage Pharmacy
- Aerocare Home Medical Inc. (AeroCare)
- Aerocare Home Medical, Inc. (Grace Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.