NPI Code Detail JSON Logo

1184919268 NPI number — FIRST PHARMACY SERVICES 5

NPI Number: 1184919268
Health Care Provider/Practitioner: FIRST PHARMACY SERVICES 5

Information about “1184919268” NPI (FIRST PHARMACY SERVICES 5) exists in 1184919268 in HTML format HTML  |  1184919268 in plain Text format TXT  |  1184919268 in PDF (Portable Document Format) PDF  |  1184919268 in an XML format XML  formats.

NPI Number : 1184919268 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184919268",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FIRST PHARMACY SERVICES 5",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 47",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POPE",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38658-0047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-349-3300",
    "MailingAddressFaxNumber": "662-349-3311",
    "FirstLinePracticeLocationAddress": "6888 GOODMAN RD STE 122",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLIVE BRANCH",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38654-8761",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-349-3300",
    "PracticeLocationAddressFaxNumber": "662-349-3311",
    "EnumerationDate": "06/16/2011",
    "LastUpdateDate": "04/05/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRATT",
    "AuthorizedOfficialFirstName": "DENISE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "662-349-3300",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0002X",
          "TaxonomyName": "Clinic Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336M0003X",
          "TaxonomyName": "Managed Care Organization Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": "13864/4.1",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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