Burnham-McKinney Pharmacies Inc
Organization Active NPI Community/Retail Pharmacy · Moss Point, MS
NPI 1700965845 · NPPES record last updated Jul 18, 2014
Key facts
- NPI
- 1700965845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 007741011 (MS)
- Legal business name
- BURNHAM-MCKINNEY PHARMACIES INC
- Practice address
- 5001 Main St
Moss Point, MS 39563-2738 - Phone
- (228) 475-3411
- Fax
- (228) 471-1400
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- John McKinney, RPH
- Title
- Owner and President
- Phone
- (228) 475-3411
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210506001773 | MS | Part B Supplier - Pharmacy | 7810896743 | Practice locations: Moss Point, MS |
National Provider Directory
Locations
5001 Main St
Moss Point, MS 39563
Phone (228) 474-4663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00774/01.1 | MS | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 00774/01.1 | MS | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 00774/01.1 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 007741011 | MS | Yes |
| Home Infusion Therapy Pharmacy | 3336H0001X | 077440/01.1 | MS | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 00774/01.1 | MS | |
| Specialty Pharmacy | 3336S0011X | 00774/01.1 | MS |
Addresses
Primary practice location
5001 Main St
Moss Point, MS 39563-2738
Mailing address
PO Box 8647
Moss Point, MS 39562-0010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340002 | Medicaid | AL | |
| 2510255 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0030097 | Medicaid | MS |
Other names
- BURNHAM-MCKINNEY PHARMACIES INC
Other providers in Moss Point, MS
- Brackish Counseling & Psychotherapy LLC
- Tiffany Broughton
- Lauren Quinn Brown I
- Burnham McKinney Pharmacies Inc
- Burnham McKinney Pharmacies Inc
- Burnham-McKinney Pharmacies, Inc. #2
- Burnham'S Vital Care LLC
- Burnham'S Vital Care LLC
- Manette K Camarata
- Whitney Caples
All providers in Moss Point, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.