Organization Active NPI

Southwest Pharmacy, Inc.

Doing business as Guy's Pharmacy of Summit

  • Community/Retail Pharmacy
  • Summit, MS
National Provider Identifier
1871073908
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17197 Issued in MS
Legal business name
SOUTHWEST PHARMACY, INC.
Doing business as
Guy's Pharmacy of Summit
Practice address
1121 Hwy 98 and 51
Summit, MS 39666
Phone
(601) 465-0777
NPI assigned
Aug 17, 2018
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Sabrina Collins
Title
Compliance Officer
Phone
(610) 684-4127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 17197 MS Primary

Addresses

Primary practice location

1121 Hwy 98 and 51
Summit, MS 39666

Mailing address

1121 Highway 98 and 51
Summit, MS 39666-9304

Other names 1

  • Guy's Pharmacy of Summit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwest Discount Drug8 organizations share this tax ID, including this one
Part of
Southwest Discount Drug

Other organizations with this tax ID 7

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

Locations

1121 Highway 98 and 51
Summit, MS 39666
Phone (601) 465-0777

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1871073908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 HIGHWAY 98 AND 51",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HWY 98 AND 51",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "39666",
            "telephone_number": "601-465-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST PHARMACY, INC.",
        "enumeration_date": "2018-08-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-684-4127"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "17197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guy's Pharmacy of Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.