Professional Pharmacy Services, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

02101 Issued in MS

Legal business name

PROFESSIONAL PHARMACY SERVICES, INC

Practice address

260 Delta Ave
Clarksdale, MS 38614-4213

Phone

(662) 624-6592

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Val SoldevilaNPI 1922195643

Title

Pres

Phone

(662) 624-6592

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Val Soldevila, RPH, CFO

  • Pharmacist
  • Clarksdale, MS
  • NPI 1922195643
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487741203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 DELTA AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144213",
            "telephone_number": "662-624-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 DELTA AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144213",
            "telephone_number": "662-624-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLDEVILA",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "662-624-6592"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "02101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030537",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2516029",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440863",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonya Y Pittman, M.ED.
• Teresa Poindexter, M.ED.
• Shirley Brianne Pounders, PHARMD
• Preferred Care Developmental Centers of Ms I, Inc.
• Kristalin Young Presley, FNP
• R Andrew Packard MD PC
• R Ted Roberts DDS PA
• Rad-One, PA
• Aisha Ragland
• Anu Ramgoolam, RD

• All providers in Clarksdale, MS
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.