Tara Pharmacy SE LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TARA PHARMACY SE LLC

Practice address

110 Metroplex Blvd
Suite H
Pearl, MS 39208

Phone

(601) 664-1664

Fax

(601) 664-1661

NPI assigned

Jun 13, 2007

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James R. Cox II, PHARMDNPI 1912572702

Title

Vice President

Phone

(601) 664-1664

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Rayburn Cox II, PHARMD

  • Pharmacist
  • Pearl, MS
  • NPI 1912572702
  Authorized official Same address or phone

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1821292731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 428",
            "address_2": "3690 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 METROPLEX BLVD",
            "address_2": "SUITE H",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-664-1664",
            "fax_number": "601-664-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA PHARMACY SE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-664-1664",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01902360",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Stewart, NP
• Sonja T Stiff, D.M.D.
• Emily Pate Suggs, LPC
• Super D Drugs Acquisition Co. (Super D Drugs #139)
• Barbara L Tapps, FNP
• The Medical Foundation of Central Mississippi (Baptist Medical Clinic - Internal Medicine)
• The Pediatric Dental Studio, LLC
• Deidra Thompson, FNP
• Dornette Thompson, LMSW
• Kristel Heckman Thrash, LPC

• Long Term Care Pharmacy in Pearl, MS
• Providers in Pearl, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.