Summit Express Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUMMIT EXPRESS PHARMACY LLC

Practice address

105 S Laurel St
Summit, MS 39666

Phone

(601) 465-0500

NPI assigned

Jan 29, 2018

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marty Bigner

Title

Pharmacist

Phone

(601) 465-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS4 enrollments

Enrollment records 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Tara Lynn Dupree, PHARMD

  • Pharmacist
  • Summit, MS
  • NPI 1124432679
  NPD
• Charles Timothy Stamps, RPH

  • Pharmacist
  • Brookhaven, MS
  • NPI 1679929913
  NPD

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1720586332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396661301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LAUREL ST",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "39666",
            "telephone_number": "601-465-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-08-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BIGNER",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-465-0500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Stephenson
• Jennifer K. Stogner
• Diane Stringer
• Terri Stringer
• Jasmine Sullivan
• Summit Family Dentistry PLLC
• Lori Tate, L.C.S.W
• William Taylor
• Amanda Terry
• Elizabeth Terry

• Community/Retail Pharmacy in Summit, MS
• Providers in Summit, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.