Active NPI
Mantachie Pharmacy LLC
- Long Term Care Pharmacy
- Mantachie, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MANTACHIE PHARMACY LLC
- Practice address
- 3309 Highway 371 N
Mantachie, MS 38855-7267 - Phone
- (662) 282-7000
- Fax
- (662) 282-7007
- NPI assigned
- Jun 14, 2021
- Last updated
- Jun 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katlyn Spradling
- Title
- Owner
- Phone
- (662) 282-7000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
3309 Highway 371 N
Mantachie, MS 38855-7267
Mailing address
PO Box 96
Mantachie, MS 38855-0096
Phone (662) 282-7000
National Provider Directory
National Provider Directory- Tax ID family
- Mantachie Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mantachie Pharmacy
- Community/Retail Pharmacy
- Mantachie, MS
- NPI 1992292536
Locations
3309 Highway 371 N
Mantachie, MS 38855
Phone (662) 282-7000
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.
-
- Pharmacist
- Mantachie, MS
- NPI 1306330253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623628800000",
"number": "1902474190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"city": "MANTACHIE",
"state": "MS",
"postal_code": "388550096",
"telephone_number": "662-282-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 HIGHWAY 371 N",
"city": "MANTACHIE",
"state": "MS",
"postal_code": "388557267",
"telephone_number": "662-282-7000",
"fax_number": "662-282-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTACHIE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A",
"authorized_official_last_name": "SPRADLING",
"authorized_official_first_name": "KATLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-282-7000"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mantachie, MS
- Hometown Care of Mantachie LLC
- Bonnie Renee' Jones, MSN, APRN, FNP-C
- Katherine E Jones, FNP-BC
- Ginger Little
- James Brandon Loden
- Mantachie Pharmacy LLC (Mantachie Pharmacy)
- Mantachie Rural Health Care, Inc (Mantachie Clinic)
- Mantachie Rural Health Care, Inc
- Mantachie Rural Health Care, Inc (Mantachie Rural Health Care Inc Behavioral Health)
- Mantachie Rural Health Care, Inc (Mantachie Rural Health Care, Inc. Mobile Unit)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.