Controlex Enterprises, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

07128/01.2 Issued in MS

Legal business name

CONTROLEX ENTERPRISES, INC.

Practice address

801 Washington Ave
Ocean Springs, MS 39564-4637

Phone

(228) 875-4272

Fax

(228) 875-2651

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Modena S Cannon

Title

Pharmacy Operations Manager

Phone

(228) 769-7067

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LOVELACE DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1770660201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 INGALLS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675650",
            "telephone_number": "228-875-4272",
            "fax_number": "228-875-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644637",
            "telephone_number": "228-875-4272",
            "fax_number": "228-875-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTROLEX ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MODENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "228-769-7067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "07128/01.2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00036331",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2586709",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOVELACE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Collins, M.D.
• Gloria Colleen Collins, EDD, LPC, NCC, BCTMH
• Stephanie Kay Collins, RBT
• Amber D Colville, MD
• Compass Psychological Associates, PLLC
• Brittany Nichole Cook
• Glenn Staton Cook, D.M.D.
• Jane Oglesby Cook, PH.D., LPC
• James E Corder, MD
• Mary-Elizabeth Cordle, NP

• All providers in Ocean Springs, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.