Mississippi Medical Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0680320 Issued in MS

Legal business name

MISSISSIPPI MEDICAL PRODUCTS

Practice address

1716 Commerce St Ste a
Grenada, MS 38901

Phone

(662) 226-0036

Fax

(662) 226-4352

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Cash, REGISTERED PHARMACIS

Title

Pharmacist Owner

Phone

(662) 226-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609981331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 COMMERCE ST STE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0036",
            "fax_number": "662-226-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 COMMERCE ST STE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0036",
            "fax_number": "662-226-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "662-226-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "0680320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07185000",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Flint Melton
• Mercy Hospice LLC
• Joseph S Messina Jr., MD
• Mississippi CVS Pharmacy, L.L.C.
• Mississippi Inpatient Medicine Associates, PLLC
• Mississippi State Department of Health
• George Terrance Moody, D.M.D.
• Candice Moore, OTR/L
• Gale Moore, C.N.M.
• James R Moore Jr., R. PH.

• Durable Medical Equipment & Medical Supplies in Grenada, MS
• Providers in Grenada, MS by specialty
• Durable Medical Equipment & Medical Supplies 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.