Active NPI
Pharmacy Group of Mississippi, LLC
Doing business as Pharmacy Partners of Mississippi
- Long Term Care Pharmacy
- Madison, MS
National Provider Identifier
1699182444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMACY GROUP OF MISSISSIPPI, LLC
- Doing business as
- Pharmacy Partners of Mississippi
- Practice address
- 136 Enterprise Dr
Madison, MS 39110-8701 - Phone
- (601) 499-2460
- Fax
- (601) 499-2461
- NPI assigned
- Jul 14, 2014
- Last updated
- Apr 24, 2025
- 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. Ronnie James Cannon
- Title
- Executive Director
- Phone
- (601) 499-2460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
136 Enterprise Dr
Madison, MS 39110-8701
Mailing address
136 Enterprise Dr
Madison, MS 39110-8701
Phone (601) 499-2460
Other names 1
- Pharmacy Partners of Mississippi
National Provider Directory
National Provider DirectoryLocations
136 Enterprise Dr
Gluckstadt, MS 39110
Phone (205) 499-2460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Madison, MS
- NPI 1568737237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1699182444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 ENTERPRISE DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391108701",
"telephone_number": "601-499-2460",
"fax_number": "601-499-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 ENTERPRISE DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391108701",
"telephone_number": "601-499-2460",
"fax_number": "601-499-2461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY GROUP OF MISSISSIPPI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-14",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "CANNON",
"authorized_official_first_name": "RONNIE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "601-499-2460",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmacy Partners of Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.