Medical Plaza on Harper LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08781/01.1 Issued in MS

Legal business name

MEDICAL PLAZA ON HARPER LLC

Practice address

1425 S. Harper Road
Corinth, MS 38834

Phone

(662) 286-6337

Fax

(662) 396-6333

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Jesse Bart Doran

Title

Pharmacist in Charge

Phone

(662) 286-6337

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICAL PLAZA ON HARPER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1801176144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S. HARPER ROAD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-6337",
            "fax_number": "662-396-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S. HARPER ROAD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-6337",
            "fax_number": "662-396-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA ON HARPER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "662-286-6337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "08781/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2588412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00529591",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PLAZA ON HARPER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Plaza Pharmacy
• Medisend Specialty Pharmacy Inc
• Meds on Alcorn, LLC
• Meds on Harper, LLC
• Medtech of Corinth

• Community/Retail Pharmacy in Corinth, MS
• Providers in Corinth, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.