NPIMap

Organization Active NPI

Pharmacy Management Group LLC

Doing business as Total Care Specialty

  • Long Term Care Pharmacy
  • Columbus, MS
National Provider Identifier
1942345574
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
00363 Issued in MS
Legal business name
PHARMACY MANAGEMENT GROUP LLC
Doing business as
Total Care Specialty
Practice address
425 Main St
Columbus, MS 39701-4533
Phone
(662) 328-1766
Fax
(662) 328-9273
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Ronald Harris, RPH
Title
PHRM Owner
Phone
(662) 327-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 00363 MS Primary

Addresses

Primary practice location

425 Main St
Columbus, MS 39701-4533

Mailing address

425 Main St
Columbus, MS 39701-4533

Other identifiers 2

IdentifierTypeStateIssuer
2500266OtherOTHER ID NUMBER
00030031MedicaidMS

Other names 1

  • Total Care Specialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Management Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

425 Main St
Columbus, MS 39701
Phone (662) 328-1766

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1942345574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397014533",
            "telephone_number": "662-328-1766",
            "fax_number": "662-328-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHRM OWNER",
        "authorized_official_telephone_number": "662-327-4025",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "00363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2500266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.