Active NPI
Barnett Apothecary, LLC
- Pharmacist
- Iuka, MS
National Provider Identifier
1669481875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05564011
- Legal business name
- BARNETT APOTHECARY, LLC
- Practice address
- 606 Battleground Dr
Iuka, MS 38852 - Phone
- (662) 423-9994
- Fax
- (662) 423-9987
- NPI assigned
- Aug 5, 2006
- Last updated
- Apr 6, 2011
- 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
- Mr. John Stephen Barnett, RPH
- Title
- Owner Pharmacist
- Phone
- (662) 423-9994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 05564011 | MS | Primary |
Addresses
Primary practice location
606 Battleground Dr
Iuka, MS 38852
Mailing address
PO Box 60
Iuka, MS 38852
Phone (662) 423-9994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330696 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230201001376 | MS | Part B Supplier - Pharmacy | 1850504549 | Practice locations: Iuka, MS |
National Provider Directory
National Provider DirectoryLocations
606 Battleground Dr
Iuka, MS 38852
Phone (662) 423-9994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1669481875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-9994",
"fax_number": "662-423-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BATTLEGROUND DR",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-9994",
"fax_number": "662-423-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNETT APOTHECARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "662-423-9994",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "05564011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330696",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.