Iuka Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

IUKA PHARMACY SERVICES LLC

Practice address

1411 W Quitman St
Iuka, MS 38852-1100

Phone

(662) 423-9039

Fax

(662) 423-9318

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Timothy Lee Griffin, PHARMD

Title

Owner

Phone

(662) 423-9039

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1871148239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130",
            "telephone_number": "662-423-9039",
            "fax_number": "662-423-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521100",
            "telephone_number": "662-423-9039",
            "fax_number": "662-423-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IUKA PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-423-9039",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00092754",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nicole Howard, SLP
• Inside Out Occupational Therapy
• Iuka Family Clinic LLC
• Iuka Family Dental, PLLC
• Iuka Pharmacy Services LLC
• Iuka Town Clinic, LLC
• Amanda James, PHARM.D.
• Jade Elizabeth James, FNP-BC
• Callee Johnson
• Hope Ross Johnson

• Long Term Care Pharmacy in Iuka, MS
• Providers in Iuka, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.