Funderburk's Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06916 Issued in MS

Legal business name

FUNDERBURK'S PHARMACY, INC.

Practice address

134 W Commerce St
Hernando, MS 38632-2240

Phone

(662) 429-5337

Fax

(662) 429-5207

NPI assigned

Feb 13, 2007

Last updated

Mar 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl M Sudduth, R.PH.NPI 1811066616

Title

President

Phone

(662) 429-5337

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Funderburks Pharmacy Inc

  • Pharmacy
  • Hernando, MS
  • NPI 1295703536

  5193786861

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Funderburks Pharmacy Inc

  dba Funderburks Pharmacy-Independence

  • Community/Retail Pharmacy
  • Coldwater, MS
  • NPI 1548999436

  O20200310002097

  Same enrollment

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.

• Cheryl M. Sudduth, RPH.

  • Pharmacist
  • Hernando, MS
  • NPI 1811066616
  Authorized official Same address or phone

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1912049073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322240",
            "telephone_number": "662-429-5337",
            "fax_number": "662-429-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322240",
            "telephone_number": "662-429-5337",
            "fax_number": "662-429-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDERBURK'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-429-5337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030125",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Freeman, PHARMD
• Mary Britton Freeman
• Pamela E French, P.T.
• Full Circle Midwifery, LLC
• Jody E Fulper
• Funderburk's Pharmacy, Inc.
• Funderburks Pharmacy Inc
• Anna Gammon, COTA/L
• Ngeche Gang
• Getwell Pharmacy of Tennessee, Inc. (GetWell Pharmacy of Hernando #3300)

• Community/Retail Pharmacy in Hernando, MS
• Providers in Hernando, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.