P & S Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00741011 Issued in MS

Legal business name

P & S PHARMACY, INC

Doing business as

P and S Pharmacy

Practice address

804 Grand Ave
Yazoo City, MS 39194-3234

Phone

(662) 746-1341

Fax

(662) 716-7123

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Clayton Nagle

Title

Owner/President

Phone

(662) 746-1341

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• P AND S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1619988128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943234",
            "telephone_number": "662-746-1341",
            "fax_number": "662-716-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "662-746-1341"
    },
    "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": "00741011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030049",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2507993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P AND S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lajuana Yevette Newton, NP
• Nexion Health at Yazoo City, Inc. (Yazoo City Rehabilitation and Healthcare Center)
• Pauline Njiti, PHARMD.
• Oasis Health & Rehab of Yazoo City, LLC
• Gloria Owens
• Pamela B Ledbetter (vanjon's pharmacy)
• David J Parker Jr.
• Leigh Parker
• Ouida Parks, LPC
• Candace Patterson

• Community/Retail Pharmacy in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.