Active NPI
Pharm Net Inc
- Community/Retail Pharmacy
- Winona, MS
National Provider Identifier
1619974961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 048832.0
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330584 | Medicaid | MS | |
| 2046282 | Other | PK |
Other names 1
- PHARM NET
National Provider Directory
National Provider DirectoryLocations
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.