Medi Start Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

0695011 Issued in MS

Legal business name

MEDI START INC

Doing business as

MEDISTART PHARMACY

Practice address

3188 W Northside Dr
Jackson, MS 39213-4516

Phone

(601) 321-8883

Fax

(601) 321-0981

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Khalid Mokhtar, RPH

Title

President

Phone

(601) 899-5621

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• MEDISTART PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1811009814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134516",
            "telephone_number": "601-321-8883",
            "fax_number": "601-321-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI START INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MOKHTAR",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-899-5621",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "0695011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2586660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06133579",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2586660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDISTART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shani Kirk Meck, M.D.
• Med-Ability LLC
• Med-Trans Corporation
• Nicholas Fouad George Medawar, MD
• Medfusion, LLC
• Medical Arts Dental Group P.a.
• Medical Arts Dental North Jackson
• Medical Assurance LLC
• Medical Billing Strategies, LLC
• Medical Care Alliance LLC

• Compounding Pharmacy in Jackson, MS
• Providers in Jackson, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.