Active NPI
Specialized Clinical Pharmacy, LLC
- Community/Retail Pharmacy
- Oxford, MS
National Provider Identifier
1669961405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Alan Ashbrook, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176836 | Other | PK |
Other names 1
- iSave Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Southaven, MS
- NPI 1588465942
-
- Foot & Ankle Surgery Podiatrist
- Oxford, MS
- NPI 1396085015
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.