Organization Active NPI

Sonshine Pharmacy, LLC

Doing business as Sonshine Pharmacy

  • Community/Retail Pharmacy
  • Mooreville, MS
National Provider Identifier
1881162857
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SONSHINE PHARMACY, LLC
Doing business as
Sonshine Pharmacy
Practice address
712 Highway 371
Mooreville, MS 38857-7356
Phone
(662) 840-5601
Fax
(662) 840-5604
NPI assigned
Nov 8, 2018
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Susan Marshall Willis, PHARM DNPI 1669956553
Title
Manager
Phone
(662) 840-5601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

712 Highway 371
Mooreville, MS 38857-7356

Mailing address

PO Box 668
Mooreville, MS 38857-0668
Phone (662) 840-5601

Other identifiers 1

IdentifierTypeStateIssuer
009351594MedicaidMS

Other names 1

  • Sonshine Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523000687 MS Part B Supplier - Pharmacy 7113263252 Practice locations: Mooreville, MS

National Provider Directory

National Provider Directory

Locations

712 Highway 371
Mooreville, MS 38857
Phone (662) 840-5601

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1881162857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "MOOREVILLE",
            "state": "MS",
            "postal_code": "388570668",
            "telephone_number": "662-840-5601",
            "fax_number": "662-840-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HIGHWAY 371",
            "city": "MOOREVILLE",
            "state": "MS",
            "postal_code": "388577356",
            "telephone_number": "662-840-5601",
            "fax_number": "662-840-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONSHINE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-840-5601",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009351594",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonshine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sonshine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooreville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.