Active NPI
Advanced Pharmacy Solutions
- Psychiatric Pharmacist
- Southaven, MS
National Provider Identifier
1801002001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 05956026
- Legal business name
- ADVANCED PHARMACY SOLUTIONS
- Practice address
- 7420 Guthrie Dr N Ste 109
Southaven, MS 38671-5857 - Phone
- (877) 498-9347
- Fax
- (877) 536-4207
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffery Poliakoff
- Title
- Owner
- Phone
- (903) 295-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 05956026 | MS | Primary |
Addresses
Primary practice location
7420 Guthrie Dr N Ste 109
Southaven, MS 38671-5857
Mailing address
7420 Guthrie Dr N Ste 109
Southaven, MS 38671-5857
Phone (877) 498-9347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05908836 | Medicaid | MS |
Other names 1
- QVL Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Pharmacy Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Longview, TX
- NPI 1609828854
Locations
7420 Guthrie Dr N
Ste 109
Southaven, MS 38671
Phone (877) 498-9347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1801002001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 GUTHRIE DR N STE 109",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715857",
"telephone_number": "877-498-9347",
"fax_number": "877-536-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7420 GUTHRIE DR N STE 109",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715857",
"telephone_number": "877-498-9347",
"fax_number": "877-536-4207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PHARMACY SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "POLIAKOFF",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-295-6800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Psychiatric",
"state": "MS",
"license": "05956026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05908836",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "QVL Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.