Organization Active NPI

Sanders Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Greenville, MS
National Provider Identifier
1982787461
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1568PG Issued in MS
Legal business name
SANDERS PHARMACY, INC.
Practice address
1427 South Main Street
Suite 115
Greenville, MS 38701
Phone
(662) 378-1874
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Wynn S Sanders
Title
Owner
Phone
(662) 378-1874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1568PG MS Primary

Addresses

Primary practice location

1427 South Main Street
Suite 115
Greenville, MS 38701

Mailing address

1427 South Main Street
Suite 115
Greenville, MS 38701
Phone (662) 378-1874

National Provider Directory

National Provider Directory

Locations

1427 S Main St
Ste 115
Greenville, MS 38701
Phone (662) 378-1874

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1982787461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 SOUTH MAIN STREET",
            "address_2": "SUITE 115",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 SOUTH MAIN STREET",
            "address_2": "SUITE 115",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "WYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-378-1874"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "1568PG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.