Active NPI
Center Pharmacy
- Pharmacy Technician
- Hattiesburg, MS
National Provider Identifier
1649364662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Legal business name
- CENTER PHARMACY
- Practice address
- 1 Lincoln Pkwy
Suite 100
Hattiesburg, MS 39402-3262 - Phone
- (601) 261-4045
- Fax
- (601) 261-2779
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 22, 2020
- 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
- Barry Monday
- Title
- Owner
- Phone
- (601) 579-4453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
1 Lincoln Pkwy
Suite 100
Hattiesburg, MS 39402-3262
Mailing address
1 Lincoln Pkwy
Suite 100
Hattiesburg, MS 39402-3262
Phone (601) 261-4045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08753029 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649364662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LINCOLN PKWY",
"address_2": "SUITE 100",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023262",
"telephone_number": "601-261-4045",
"fax_number": "601-261-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINCOLN PKWY",
"address_2": "SUITE 100",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023262",
"telephone_number": "601-261-4045",
"fax_number": "601-261-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONDAY",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-579-4453"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08753029",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- 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.