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Organization Active NPI

Singing River Health System

Doing business as Singing River Specialty Pharmacy

  • Community/Retail Pharmacy
  • Pascagoula, MS
National Provider Identifier
1851938898
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SINGING RIVER HEALTH SYSTEM
Doing business as
Singing River Specialty Pharmacy
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-2230
Fax
(228) 809-2235
NPI assigned
Dec 10, 2019
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SINGING RIVER HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Mrs. Lisa D Fratesi, RPH
Title
System Director of Pharmacy
Phone
(228) 818-2109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-2230

Other names 1

  • Singing River Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200506003050 MS DME Supplier - Pharmacy 3870405194 Practice locations: Pascagoula, MS
O20201118000446 MS Part B Supplier - Pharmacy 3870405194 Practice locations: Pascagoula, MS

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Singing River Hosp16 organizations share this tax ID, including this one
Part of
Singing River Hosp

Other organizations with this tax ID 15

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

View all 15

Locations

2809 Denny Ave
Ph
Pascagoula, MS 39581
Phone (228) 809-2230

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Singing River Health SystemPascagoula, MS, CCN 250040 Hospital Operational/Managerial Control Sep 1, 1998
Singing River GulfportGulfport, MS, CCN 250123 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 16, 2020
Singing River Skilled Nursing FacilityPascagoula, MS, CCN 255346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 23, 2017
Sep 23, 2017
Hospice of LightOcean Springs, MS, CCN 251518 Hospice Operational/Managerial Control Sep 1, 1998
East Central Medical CenterHurley, MS, CCN 258543 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 1, 2007

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1851938898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-2230",
            "fax_number": "228-809-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-2230",
            "fax_number": "228-809-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINGING RIVER HEALTH SYSTEM",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FRATESI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "228-818-2109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Singing River Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.