Active NPI
Mississippi Senior Care
- Long Term Care Pharmacy
- Tupelo, MS
National Provider Identifier
1497133391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MISSISSIPPI SENIOR CARE
- Practice address
- 86 S Thomas St
Tupelo, MS 38801-4355 - Phone
- (662) 844-0400
- Fax
- (662) 844-5605
- NPI assigned
- May 11, 2015
- Last updated
- Jul 28, 2021
- 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
- Mr. James Marc Gunnells, R.PH
- Title
- President
- Phone
- (662) 678-3330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
86 S Thomas St
Tupelo, MS 38801-4355
Mailing address
86 S Thomas St
Tupelo, MS 38801-4355
Phone (662) 844-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1382603 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
86 S Thomas St
Tupelo, MS 38801
Phone (662) 678-3330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1497133391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 S THOMAS ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014355",
"telephone_number": "662-844-0400",
"fax_number": "662-844-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 S THOMAS ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014355",
"telephone_number": "662-844-0400",
"fax_number": "662-844-5605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2021-07-28",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "GUNNELLS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-678-3330",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1382603",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Mississippi Commcare Corporation a Non Profit Corporation (Tupelo Community Care Center)
- Mississippi CVS Pharmacy LLC (CVS Pharmacy #17968)
- Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy #08992)
- Mississippi Methodist Hospital & Rehabilitation Center, Inc.
- Mississippi Pediatric Endocrine Care PLLC (MS Pediatric Endocrine Care)
- Mississippi Sport and Spine Rehabilitation
- Mississippi State Department of Health
- Alison Renee Mitchell
- Janice Mitchell, DO
- Kristin Mitchell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.