Organization Active NPI

Pharm Net Inc

  • Community/Retail Pharmacy
  • Winona, MS
National Provider Identifier
1619974961
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
048832.0 Issued in MS
Legal business name
PHARM NET INC
Practice address
403 Summit St
Winona, MS 38967-2113
Phone
(662) 283-1331
Fax
(662) 283-1333
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Michael Devine, RPH
Title
Owner
Phone
(662) 283-1331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 048832.0 MS Primary

Addresses

Primary practice location

403 Summit St
Winona, MS 38967-2113

Mailing address

403 Summit St
Winona, MS 38967-2113
Phone (662) 283-1331

Other identifiers 2

IdentifierTypeStateIssuer
0330584MedicaidMS
2046282OtherPK

Other names 1

  • PHARM NET Doing business as

National Provider Directory

National Provider Directory

Locations

403 Summit St
Winona, MS 38967
Phone (662) 283-1331

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1619974961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUMMIT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672113",
            "telephone_number": "662-283-1331",
            "fax_number": "662-283-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672113",
            "telephone_number": "662-283-1331",
            "fax_number": "662-283-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM NET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-283-1331",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "048832.0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330584",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARM NET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.