MEDICARE: MS-RX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy	17168	SC
2	333600000X	Pharmacy	PHRE010009	GA
3	3336C0003X	Community/Retail Pharmacy	05826	TN
4	3336M0002X	Mail Order Pharmacy	13166	NC
5	3336C0003X	Community/Retail Pharmacy	PH29446	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2145656	OTHER		PK

General Provider Information

NPI Number	:	1912317660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS-RX LLC

Provider Business Mailing Address
First Line	:	3200 DOWNWOOD CIR NW
Second Line	:	SUITE 430A
City	:	ATLANTA
State	:	GA
Zip	:	30327-1610
Country	:	US
Telephone Number	:	404-856-4810
Fax Number	:	404-351-4395

Provider Business Practice Location Address
First Line	:	3200 DOWNWOOD CIR NW STE 430A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-1659
Country	:	US
Telephone Number	:	404-856-4810
Fax Number	:	404-351-4395

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	NANCY ROSS
Credential	:	PHARMD
Telephone Number	:	404-856-4810

Provider Enumeration Date	:	05/04/2014
Last Update Date	:	09/19/2025

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Directions to “MS-RX LLC ” Practice Location

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