NPIMap

Organization Active NPI

George County Hospital

Doing business as George County Hospital Pharmacy

  • Institutional Pharmacy
  • Lucedale, MS
National Provider Identifier
1710270814
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
02122/3.1 Issued in MS
Legal business name
GEORGE COUNTY HOSPITAL
Doing business as
George County Hospital Pharmacy
Practice address
859 Winter St
Lucedale, MS 39452-6603
Phone
(601) 673-6181
Fax
(601) 766-4293
NPI assigned
May 23, 2011
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Carman Walley
Title
Dop
Phone
(601) 673-6181

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Institutional Pharmacy 3336I0012X 02122/3.1 MS Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

859 Winter St
Lucedale, MS 39452-6603

Mailing address

859 Winter St
Lucedale, MS 39452-6603
Phone (601) 673-6181

Other identifiers 1

IdentifierTypeStateIssuer
2130446OtherPK

Other names 1

  • George County Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George Countymobile Inf10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1710270814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526603",
            "telephone_number": "601-673-6181",
            "fax_number": "601-766-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526603",
            "telephone_number": "601-673-6181",
            "fax_number": "601-766-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "CARMAN",
        "authorized_official_title_or_position": "DOP",
        "authorized_official_telephone_number": "601-673-6181"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MS",
            "license": "02122/3.1",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George County Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.