NPIMap

Organization Active NPI

Gluckstadt Special Care Pharmacy & Compounding

  • Pharmacy
  • Madison, MS
National Provider Identifier
1831419688
Registry record updated Jun 3, 2010
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Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
08504 Issued in MS
Legal business name
GLUCKSTADT SPECIAL CARE PHARMACY & COMPOUNDING
Practice address
1716 Highway 51
Suite N
Madison, MS 39110-5020
Phone
(601) 636-5555
Fax
(601) 638-1564
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Mr. Mitchell C Barrett
Title
Owner/Pharmacist
Phone
(601) 529-9341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 08504 MS Primary

Addresses

Primary practice location

1716 Highway 51
Suite N
Madison, MS 39110-5020

Mailing address

1716 Hwy 51 North
Suite N
Madison, MS 39110
Phone (601) 636-5555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1831419688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HWY 51 NORTH",
            "address_2": "SUITE N",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-636-5555",
            "fax_number": "601-638-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 51",
            "address_2": "SUITE N",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105020",
            "telephone_number": "601-636-5555",
            "fax_number": "601-638-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCKSTADT SPECIAL CARE PHARMACY & COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "601-529-9341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "08504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.