NPIMap

Organization Active NPI

Forrest General Hospital

  • Long Term Care Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1740795806
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
042355.1 Issued in MS
Legal business name
FORREST GENERAL HOSPITAL
Practice address
1414 South 28TH Avenue
Hattiesburg, MS 39401
Phone
(601) 288-2438
Fax
(601) 288-2486
NPI assigned
Dec 11, 2017
Organization subpart
Yes
Parent organization
FORREST GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Ben Hester
Title
Chief Financial Officer
Phone
(601) 288-4225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 04235.5.1 MS
Long Term Care Pharmacy 3336L0003X 042355.1 MS Primary

Addresses

Primary practice location

1414 South 28TH Avenue
Hattiesburg, MS 39401

Mailing address

1414 South 28TH Avenue
Hattiesburg, MS 39401
Phone (601) 288-2438

Other names 1

  • Hospice/Homecare Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Forrest County Gen Hospital41 organizations share this tax ID, including this one
Part of
Forrest County Gen Hospital

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1740795806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SOUTH 28TH AVENUE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-288-2438",
            "fax_number": "601-288-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SOUTH 28TH AVENUE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-288-2438",
            "fax_number": "601-288-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORREST GENERAL HOSPITAL",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-288-4225"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "04235.5.1",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "042355.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice/Homecare Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.