Smithville Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

CS-04541/01.1 Issued in MS

Legal business name

SMITHVILLE PHARMACY

Practice address

63432 Highway 25 N
Smithville, MS 38870-7763

Phone

(662) 651-5377

Fax

(662) 651-5379

NPI assigned

Jan 12, 2006

Last updated

Aug 22, 2020By 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

S. Phillip Carson, R. PH

Title

President

Phone

(662) 651-5377

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922087493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63432 HIGHWAY 25 N",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388707763",
            "telephone_number": "662-651-5377",
            "fax_number": "662-651-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63432 HIGHWAY 25 N",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388707763",
            "telephone_number": "662-651-5377",
            "fax_number": "662-651-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-651-5377",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "04541/01.1",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "CS-04541/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440615",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle George, PHARMD
• James Mark Monroe, D.O.
• Alisha Marie Parham, FNP-C
• Mariah Reichenbach, DMD
• Howard Lamar Robertson
• Jamesha Tumblin, NP
• Sara Vance, MS, RD, LD, CHES
• Neil R. Wanee, MD
• Clinton Washington, MD
• Kathryn Claire Wright, FNP

• Pharmacy in Smithville, MS
• Providers in Smithville, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.