Square Pharmacy and Gifts of Belmont, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SQUARE PHARMACY AND GIFTS OF BELMONT, LLC

Practice address

85 Main St
Belmont, MS 38827-9750

Phone

(662) 231-7234

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katlyn Spradling, PHARMDNPI 1306330253

Title

Pharmacist/Owner

Phone

(662) 322-3901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Katlyn Spradling

  • Pharmacist
  • Mantachie, MS
  • NPI 1306330253
  NPD Authorized official
• Stacy Credille, R.PH.

  • Pharmacist
  • Red Bay, AL
  • NPI 1922318070
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1699317917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388270428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388279750",
            "telephone_number": "662-231-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE PHARMACY AND GIFTS OF BELMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SPRADLING",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "662-322-3901",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senter Medical Clinic, PC
• Senter Medical Clinic, PC
• Stephen K Senter, MD
• Nathaniel Thomas Sparks, MD
• Whitney Bonner Sparks, NP
• Michael Paul Stamper, OTR/L
• Tishomingo Health Services, Inc. (Belmont Family Medical Clinic)
• Tishomingo Regional Providers
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3856)
• Chelsea Wells, FNP

• Community/Retail Pharmacy in Belmont, MS
• Providers in Belmont, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.

Verify at the official NPI Registry.