Organization Active NPI

Five Star Pharmacy, LLC

  • Community/Retail Pharmacy
  • Senatobia, MS
National Provider Identifier
1700432200
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Lorie Chandler, RPHNPI 1659689115
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200121000137 MS Part B Supplier - Pharmacy 6800221938 Practice locations: Senatobia, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.