NPIMap

Organization Active NPI

Funderburk's Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Hernando, MS
National Provider Identifier
1922630797
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Cheryl M. Sudduth
Title
Pharmacist/Owner
Phone
(662) 429-5337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

134 W Commerce St
Hernando, MS 38632-2240

Mailing address

134 W Commerce St
Hernando, MS 38632-2240
Phone (662) 429-5337

National Provider Directory

National Provider Directory
Tax ID family
Funderburks Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1922630797",
    "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": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "662-429-5337"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.