Active NPI
Five Star Pharmacy, LLC
- Community/Retail Pharmacy
- Senatobia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FIVE STAR PHARMACY, LLC
- Practice address
- 102 Northwest PLZ
Senatobia, MS 38668-1729 - Phone
- (662) 612-6225
- Fax
- (844) 273-2027
- NPI assigned
- Aug 12, 2019
- Last updated
- Oct 28, 2019
- 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
- Lorie Chandler, RPH
- Title
- Pharmacist
- Phone
- (662) 801-2856
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
102 Northwest PLZ
Senatobia, MS 38668-1729
Mailing address
102 Northwest PLZ
Senatobia, MS 38668-1729
Phone (662) 612-6225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200121000137 | MS | Part B Supplier - Pharmacy | 6800221938 | Practice locations: Senatobia, MS |
National Provider Directory
National Provider DirectoryLocations
102 Norfleet Dr
#Five
Senatobia, MS 38668
102 Northwest Plz
Senatobia, MS 38668
Phone (662) 612-6225
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Senatobia, MS
- NPI 1659689115
-
- Pharmacist
- Senatobia, MS
- NPI 1942762265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572220800000",
"number": "1700432200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 NORTHWEST PLZ",
"city": "SENATOBIA",
"state": "MS",
"postal_code": "386681729",
"telephone_number": "662-612-6225",
"fax_number": "844-273-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NORTHWEST PLZ",
"city": "SENATOBIA",
"state": "MS",
"postal_code": "386681729",
"telephone_number": "662-612-6225",
"fax_number": "844-273-2027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-12",
"last_updated": "2019-10-28",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "LORIE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "662-801-2856",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Senatobia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.