NPIMap

Organization Active NPI

Ms State Department of Health Pharmacy

  • Home Infusion Therapy Pharmacy
  • Jackson, MS
National Provider Identifier
1861616757
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
0108505.1 Issued in MS
Legal business name
MS STATE DEPARTMENT OF HEALTH PHARMACY
Practice address
3156 Lawson Street
Jackson, MS 39213
Phone
(601) 713-3457
Fax
(601) 364-2670
NPI assigned
Apr 12, 2007
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Margaret McChesney Pearson, PHARMD, MS
Title
Director of Pharmacy
Phone
(601) 713-3457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 01085 05.1 MS
Home Infusion Therapy Pharmacy 3336H0001X 0108505.1 MS Primary

Addresses

Primary practice location

3156 Lawson Street
Jackson, MS 39213

Mailing address

3156 Lawson Street
Jackson, MS 39213
Phone (601) 713-3457

Other identifiers 3

IdentifierTypeStateIssuer
2587105OtherNCPDP
30330MedicaidMS
00030330MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Mississippi Department Health126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1861616757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 LAWSON STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-713-3457",
            "fax_number": "601-364-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 LAWSON STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-713-3457",
            "fax_number": "601-364-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS STATE DEPARTMENT OF HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MCCHESNEY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "601-713-3457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, MS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MS",
            "license": "01085 05.1",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "0108505.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2587105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30330",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030330",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.