Organization Active NPI

Specialized Clinical Pharmacy, LLC

  • Community/Retail Pharmacy
  • Oxford, MS
National Provider Identifier
1669961405
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16761 Issued in MS
Legal business name
SPECIALIZED CLINICAL PHARMACY, LLC
Practice address
1194 S 18TH Street Ext
Oxford, MS 38655-5378
Phone
(662) 281-0000
Fax
(662) 281-0003
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Mr. Anthony Alan Ashbrook, RPHNPI 1588465942
Title
Pharmacist in Charge
Phone
(662) 281-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 16761 MS Primary

Addresses

Primary practice location

1194 S 18TH Street Ext
Oxford, MS 38655-5378

Mailing address

1194 S 18TH Street Ext
Oxford, MS 38655-5378
Phone (662) 281-0000

Other identifiers 1

IdentifierTypeStateIssuer
2176836OtherPK

Other names 1

  • iSave Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2309 17th St
Gulfport, MS 39501

1194 S 18th Street Ext
Oxford, MS 38655
Phone (662) 234-3668

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1669961405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 S 18TH STREET EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555378",
            "telephone_number": "662-281-0000",
            "fax_number": "662-281-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 S 18TH STREET EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555378",
            "telephone_number": "662-281-0000",
            "fax_number": "662-281-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED CLINICAL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "ASHBROOK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "662-281-0000",
        "authorized_official_name_prefix": "Mr.",
        "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": "16761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.