Organization Active NPI

Long Beach Drugs LLC

Doing business as Long Beach Pharmacy

  • Community/Retail Pharmacy
  • Long Beach, MS
National Provider Identifier
1962599159
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06270 Issued in MS
Legal business name
LONG BEACH DRUGS LLC
Doing business as
Long Beach Pharmacy
Practice address
5107 Beatline Rd
Suite 100
Long Beach, MS 39560-3871
Phone
(228) 822-9868
Fax
(228) 822-2312
NPI assigned
Oct 7, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Laurel MalleyNPI 1437299856
Title
Owner/Pharm
Phone
(228) 822-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 06270 MS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5107 Beatline Rd
Suite 100
Long Beach, MS 39560-3871

Mailing address

5107 Beatline Rd
Suite 100
Long Beach, MS 39560-3871
Phone (228) 822-9868

Other names 1

  • Long Beach Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

20144 Pineville Rd
Long Beach, MS 39560
Phone (228) 822-9868

5107 Beatline Rd
Ste 100
Long Beach, MS 39560
Phone (228) 343-3606

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.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1962599159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 BEATLINE RD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603871",
            "telephone_number": "228-822-9868",
            "fax_number": "228-822-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 BEATLINE RD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603871",
            "telephone_number": "228-822-9868",
            "fax_number": "228-822-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER/PHARM",
        "authorized_official_telephone_number": "228-822-9868"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06270",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.