Organization Active NPI

A & a Infusion & Specialty, LLC

Doing business as A & A Pharmacy

  • Pharmacy
  • Leland, MS
National Provider Identifier
1548735558
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
A & A INFUSION & SPECIALTY, LLC
Doing business as
A & A Pharmacy
Practice address
125 E 3Rd St
Leland, MS 38756-2705
Phone
(662) 332-0177
Fax
(662) 537-4953
NPI assigned
Oct 5, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
A & A INFUSION & SPECIALTY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Robert T Stokes
Title
Owner
Phone
(662) 580-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

125 E 3Rd St
Leland, MS 38756-2705

Mailing address

2044 Highway 1 S
Greenville, MS 38701-7806
Phone (662) 332-0177

Other names 1

  • A & A Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109000197 MS Part B Supplier - Mass Immunization (Roster Biller Only) 5395091664 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, MS; Leland, MS

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2182988A & a Pharmacy125 E 3Rd St, Leland, MS 38756Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
A a Infusion Specialty4 organizations share this tax ID, including this one
Part of
A a Infusion Specialty

Other organizations with this tax ID 3

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

Locations

125 E 3rd St
Leland, MS 38756
Phone (662) 332-0177

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1548735558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017806",
            "telephone_number": "662-332-0177",
            "fax_number": "662-537-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 3RD ST",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387562705",
            "telephone_number": "662-332-0177",
            "fax_number": "662-537-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & A INFUSION & SPECIALTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A & A INFUSION & SPECIALTY, LLC",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-580-0020"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & A Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.