Active NPI
Mike Acheampong, PHARM/MPH
- Pharmacist
- Hattiesburg, MS
National Provider Identifier
1861934051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.019905
- Practice address
- 500 Katie Ave
Hattiesburg, MS 39401-4380 - Phone
- (601) 544-4871
- Fax
- (601) 583-2298
- NPI assigned
- Nov 6, 2016
- Last updated
- Apr 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.019905 | LA | Primary |
| Pharmacist | 183500000X | T-12850 | MS |
Addresses
Primary practice location
500 Katie Ave
Hattiesburg, MS 39401-4380
Mailing address
500 Katie Ave
Hattiesburg, MS 39401-4380
Phone (601) 544-4871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.019905 | LA | MD | Pharmacist |
| T-12850 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomank Ventures LLC | Current | Accepting new patients | |
| Pomank Ventures LLC | Current | Accepting new patients | |
| Longleaf Home Care LLC | Current | Accepting new patients | |
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Locations
500 Katie Ave
Hattiesburg, MS 39401
Phone (601) 450-4189
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Hattiesburg, MS
- NPI 1902748049
-
dba Fairview Pharmacy & Compounding
- Community/Retail Pharmacy
- Hattiesburg, MS
- NPI 1144383613
-
- Long Term Care Pharmacy
- Hattiesburg, MS
- NPI 1417890872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1861934051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 KATIE AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394014380",
"telephone_number": "601-544-4871",
"fax_number": "601-583-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 KATIE AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394014380",
"telephone_number": "601-544-4871",
"fax_number": "601-583-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHEAMPONG",
"first_name": "MIKE",
"name_prefix": "Dr.",
"credential": "PHARM/MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-06",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.019905",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-12850",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.