Controlex Entrprises, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01128/01.2 Issued in MS

Legal business name

CONTROLEX ENTRPRISES, INC

Practice address

1420 Ingalls Ave
Pascagoula, MS 39567-5650

Phone

(228) 762-4622

Fax

(228) 762-1756

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Modena S Cannon

Title

Pharmacy Operations Manager

Phone

(228) 769-7067

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GULF COAST SAV-REX #631 Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Controlex Enterprises, Inc.

  • Pharmacy
  • Pascagoula, MS
  • NPI 1992887020

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1972685097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395692070",
            "telephone_number": "228-762-4622",
            "fax_number": "228-762-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 INGALLS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675650",
            "telephone_number": "228-762-4622",
            "fax_number": "228-762-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTROLEX ENTRPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MODENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "228-769-7067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01128/01.2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032191",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2506369",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST SAV-REX #631",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Rehab of Greenville Inc
• Complete Health Urgicare, Inc
• John T Connors, NP-C
• Controlex Enterprises, Inc.
• Controlex Enterprises, Inc.
• Gary Cook
• Cooper Family Medical Center Inc.
• Kevin Scott Cooper, MD,MPH
• Tiffany Dawn Cooper, BSW
• Melissa W Costello, M.D., FACEP

• All providers in Pascagoula, MS
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.