Organization Active NPI

Pharmacy Group of Mississippi, LLC

Doing business as Pharmacy Partners of Mississippi

  • Long Term Care Pharmacy
  • Madison, MS
National Provider Identifier
1699182444
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.