Active NPI
Olivia Pugh
- Pharmacist
- Greenville, MS
National Provider Identifier
1720896202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-101728
- Practice address
- 1430 S Main St
Greenville, MS 38701-7026 - Phone
- (662) 335-6337
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-101728 | MS | Primary |
Addresses
Primary practice location
1430 S Main St
Greenville, MS 38701-7026
Mailing address
123 Fitzhugh St
Leland, MS 38756-3309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-101728 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & a Infusion & Specialty, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1720896202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 FITZHUGH ST",
"city": "LELAND",
"state": "MS",
"postal_code": "387563309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 S MAIN ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387017026",
"telephone_number": "662-335-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-101728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
- Prior Radiology Services PA
- Donald S Prior, MD
- Priority After Hours Clinic
- Professional Pharmacy Services Inc.
- Professional Staffing Solutions Adult Day Services, LLC (Professional Staffing Solutions)
- Joe Stanley Pulliam, M.D.
- Purpose in Play Counseling Services
- Wendy Pyle
- Quality Care Nursing
- Quality Family Medical Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.