NPIMap

Organization Active NPI

Pototoc Health Services Inc

Doing business as Pontotoc hospital Pharmacy

  • Institutional Pharmacy
  • Pontotoc, MS
National Provider Identifier
1841395191
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
00902/3.1 Issued in MS
Legal business name
POTOTOC HEALTH SERVICES INC
Doing business as
Pontotoc hospital Pharmacy
Practice address
176 S Main St
Pontotoc, MS 38863-3311
Phone
(662) 488-7629
Fax
(662) 488-7714
NPI assigned
Sep 13, 2006
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 00902/3.1 MS Primary

Addresses

Primary practice location

176 S Main St
Pontotoc, MS 38863-3311

Mailing address

176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 488-7629

Other names 1

  • Pontotoc hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pontotoc Health Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1841395191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7629",
            "fax_number": "662-488-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388633311",
            "telephone_number": "662-488-7629",
            "fax_number": "662-488-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOTOC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MS",
            "license": "00902/3.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontotoc hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.