NPIMap

Organization Active NPI

Southwest Pharmacy Inc

  • Community/Retail Pharmacy
  • Crystal Springs, MS
National Provider Identifier
1801339387
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15055/1.1 Issued in MS
Legal business name
SOUTHWEST PHARMACY INC
Practice address
512 W Marion Ave
Crystal Springs, MS 39059-2747
Phone
(601) 647-0030
Fax
(601) 647-0033
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Joe Guy
Title
Owner and President
Phone
(601) 647-0030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15055/1.1 MS Primary

Addresses

Primary practice location

512 W Marion Ave
Crystal Springs, MS 39059-2747

Mailing address

512 W Marion Ave
Crystal Springs, MS 39059-2747
Phone (601) 647-0030

Other identifiers 2

IdentifierTypeStateIssuer
04456875MedicaidMS
2166424OtherPK

Other names 1

  • Guy's Pharmacy of Crystal Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Discount Drug8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

512 W Marion Ave
Crystal Springs, MS 39059
Phone (601) 647-0030

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1801339387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W MARION AVE",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592747",
            "telephone_number": "601-647-0030",
            "fax_number": "601-647-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MARION AVE",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592747",
            "telephone_number": "601-647-0030",
            "fax_number": "601-647-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "601-647-0030"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "15055/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04456875",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Pharmacy of Crystal Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.