Sanders Pharmacy No.5

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

485801SG Issued in MS

Legal business name

SANDERS PHARMACY NO.5

Practice address

1907 North Medical Park Drive
Greenville, MS 38701

Phone

(662) 378-4138

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Wynn Sanders

Title

Owner

Phone

66223784138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710060207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 NORTH MEDICAL PARK DRIVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 NORTH MEDICAL PARK DRIVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PHARMACY NO.5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "WYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "66223784138"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "485801SG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Duncan, DMD, PA
• Kristen Cassidy Roberts, FNP-C
• Collin Quinn Rounsavall, OD
• Fonda L Rowland, L.P.N.
• Sumit Saini, M.D.
• Sanders Pharmacy, Inc.
• Sanders Vital Care Inc
• Wynn Sanders, R. PH.
• Bridget B Satterfield, CFNP
• William King Schaffarzick, D.D.S.

• Durable Medical Equipment & Medical Supplies in Greenville, MS
• Providers in Greenville, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.