Pharmacy Plus Infusion Services of Hattiesburg, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

04427/02.0 Issued in MS

Legal business name

PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC.

Doing business as

VITAL CARE INFUSION SERVICES OF HATTIESBURG

Practice address

163 Turtle Creek Dr Ste 130
Hattiesburg, MS 39402-1268

Phone

(601) 261-0503

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Missy James, PT, CPHT

Title

Director of Operations

Phone

(601) 261-0503

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• VITAL CARE INFUSION SERVICES OF HATTIESBURG Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1578575379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TURTLE CREEK DR STE 130",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021268",
            "telephone_number": "601-602-2238",
            "fax_number": "601-475-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 TURTLE CREEK DR STE 130",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021268",
            "telephone_number": "601-261-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "601-261-0503",
        "authorized_official_credential": "PT, CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "04427/02.0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "000030051",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330185",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440592",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL CARE INFUSION SERVICES OF HATTIESBURG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VITAL CARE INFUSION SERVICES OF HATTIESBURG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Earl Peterman, RPT
• William Hugh Peters, M.D.
• Shira Yvette Peterson, LPC
• John Vernon Petro Jr., MD
• Olivia Peyton, DMD
• Pharmacy Plus, Inc.
• Tamra Phelps, DC
• Joseph P Phillips, MD
• Kacey Phillips, FNP
• Kathryn Elaine Phillips, BCBA

• Home Infusion Therapy Pharmacy in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Home Infusion Therapy Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.