Camellia Pharmacy Services LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

08271/2.0 Issued in MS

Legal business name

CAMELLIA PHARMACY SERVICES LLC

Practice address

885 Liberty Rd Ste 500
Flowood, MS 39232-9000

Phone

(601) 714-1868

Fax

(601) 420-6866

NPI assigned

Oct 14, 2009

Last updated

Apr 28, 2021By 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

Billy Everett, RPHNPI 1235485798

Title

Pharmacist in Charge

Phone

(601) 863-1300

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Locations

Practitioners 8

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.

• Billy Everett, R.PH.

  • Pharmacist
  • Flowood, MS
  • NPI 1235485798
  NPD Authorized official
• Cindy Armstead, D.O.

  • Emergency Medicine Physician
  • Hattiesburg, MS
  • NPI 1942427802
  NPD (past)
• Debra B Baxter, FNP-BC

  • Nurse Practitioner
  • Gulfport, MS
  • NPI 1811079544
  NPD (past)
• Brandi Renee Garris, ACNP

  • Acute Care Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1073630307
  NPD (past)
• Amy Catherine Hooker, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1386518603
  NPD (past)
• Stanford Allen Owen, MD

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1972587418
  NPD (past)
• Casey Jo Cirino, FNP

  • Family Nurse Practitioner
  • Lenoir, NC
  • NPI 1528378122
  NPD (past)
• Lori Leblanc Grundy, PA

  • Physician Assistant
  • Lake Charles, LA
  • NPI 1528339918
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1861727588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 LIBERTY RD STE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329000",
            "telephone_number": "601-714-1868",
            "fax_number": "601-420-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 LIBERTY RD STE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329000",
            "telephone_number": "601-714-1868",
            "fax_number": "601-420-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "601-863-1300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "08271/2.0",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122571",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329571",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey F Byrd, PT
• Susan Sanders Byrd, AUD
• Kathryn Caine, RNFA
• David J Caldwell, D.M.D.
• Rosalie Ann Camacho-Collier, LICSW
• Camellia Pharmacy Services LLC
• Charles Ron Cannon, MD
• Whitney Canoy
• Capital Emergency Physicians PLLC
• Capital Hearing Center LLC

• Home Infusion Therapy Pharmacy in Flowood, MS
• Providers in Flowood, MS by specialty
• Home Infusion Therapy Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.