NPIMap

Organization Active NPI

Southwest Pharmacy, Inc.

Doing business as Guy's Pharmacy of Hazlehurst

  • Community/Retail Pharmacy
  • Hazlehurst, MS
National Provider Identifier
1558086538
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHWEST PHARMACY, INC.
Doing business as
Guy's Pharmacy of Hazlehurst
Practice address
212 Caldwell Dr
Hazlehurst, MS 39083-2712
Phone
(601) 524-4897
Fax
(601) 524-4898
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Joe Keith Guy, RPHNPI 1306858253
Title
President
Phone
(601) 684-4127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

212 Caldwell Dr
Hazlehurst, MS 39083-2712

Mailing address

312 Marion Ave
McComb, MS 39648-2708
Phone (601) 684-9602

Other names 1

  • Guy's Pharmacy of Hazlehurst Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Discount Drug8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

212 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 524-4897

312 Marion Ave
McComb, MS 39648
Phone (601) 684-9602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1558086538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-684-9602",
            "fax_number": "601-654-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832712",
            "telephone_number": "601-524-4897",
            "fax_number": "601-524-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-684-4127",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Pharmacy of Hazlehurst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.