Speigha Health, Incorporated
Organization Active NPI Community/Retail Pharmacy · Bude, MS
NPI 1740385129 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1740385129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 00593/01.1 (MS)
- Legal business name
- SPEIGHA HEALTH, INCORPORATED
- Practice address
- 100 Main St
Bude, MS 39630 - Phone
- (601) 384-2383
- Fax
- (601) 384-1650
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Alisa B Smith, RPH
- Title
- Pharmacist in Charge
- Phone
- (601) 384-2383
Corporate family (same tax ID) 1
Practitioners 1
-
Alisa B Smith, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150109000676 | MS | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092039586 | Practice locations: Bude, MS |
National Provider Directory
- Tax ID family
- Peoples Drug Store
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 00593/01.1 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 00593/01.1 | MS | Yes |
| Long Term Care Pharmacy | 3336L0003X | 00593/01.1 | MS |
Addresses
Primary practice location
100 Main St
Bude, MS 39630
Mailing address
PO Box 129
Bude, MS 39630-0129
Phone (601) 384-2383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640538755 | Other | MS | BCBS |
| 00091936 | Medicaid | MS |
Other names
- PEOPLES DRUG STORE
Other providers in Bude, MS
- Kings Discount Pharmacy
- Mississippi State Department of Health
- Heather Michelle Priest
- Alisa B Smith
- Christina Danyale Smith
- Speigha Health,Inc.
- Karen A Touchstone
All providers in Bude, 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 Jun 21, 2019. 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.