Organization Active NPI

Pixies Pantry, LLC

  • Durable Medical Equipment & Medical Supplies
  • Summit, MS
National Provider Identifier
1750227625
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PIXIES PANTRY, LLC
Practice address
3959 Pricedale Dr SE
Summit, MS 39666-8249
Phone
(601) 327-8333
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Ms. Dusty McLean
Title
Owner
Phone
(601) 300-0702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3959 Pricedale Dr SE
Summit, MS 39666-8249

Mailing address

3959 Pricedale Dr SE
Summit, MS 39666-8249
Phone (601) 327-8333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1750227625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 PRICEDALE DR SE",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668249",
            "telephone_number": "601-327-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 PRICEDALE DR SE",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668249",
            "telephone_number": "601-327-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIXIES PANTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-300-0702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.