Organization Active NPI

Advanced Pharmacy Solutions

  • Psychiatric Pharmacist
  • Southaven, MS
National Provider Identifier
1801002001
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
05956026 Issued in MS
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
Psychiatric PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05908836MedicaidMS

Other names 1

  • QVL Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pharmacy Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.