Klepzig Smith Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KLEPZIG SMITH INC

Doing business as

Medicine Shoppe

Practice address

9065 Sandidge Center Cove
Suite a
Olive Branch, MS 38654

Phone

(662) 893-7400

Fax

(662) 893-7402

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mike Klepzig, RPH

Title

Owner Pharmacist

Phone

(662) 893-7400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629114285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 SANDIDGE CENTER COVE",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 SANDIDGE CENTER COVE",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-893-7400",
            "fax_number": "662-893-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEPZIG SMITH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KLEPZIG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "662-893-7400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "0413301",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330384",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2519277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mollie Jo Kinard, FNP-C
• Marcus Shannon King, PT ATC LAT
• Paul King, MD
• Tiffany Shawna King, DDS
• Scott Wood Kirsch, MD
• Jana Klepzig, RPH
• Mike William Klepzig, RPH
• KLS Medical Services
• Kevin Kogos
• Kroger Limited Partnership I (Kroger Pharmacy)

• Community/Retail Pharmacy in Olive Branch, MS
• Providers in Olive Branch, 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 Mar 7, 2023; 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.