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PHIPPS PHARMACY INC NPI 1548358633


NPI Information

NPI: 1548358633
Provider Name: PHIPPS PHARMACY INC

Doing Business As: PHIPPS PHARMACY, SOUTHAVEN

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 25D2278061

Address:
25 PHYSICIAN LANE
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9481
Get Directions

PHIPPS PHARMACY INC is a community/retail pharmacy pharmacy in Southaven, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHIPPS PHARMACY INC NPI is 1548358633. The provider is registered as an organization entity type.
The provider Is Doing Business As Phipps Pharmacy, Southaven.

The provider's business location address is:

25 PHYSICIAN LANE
SOUTHAVEN, MS
ZIP 38671-102
Phone: (662) 349-9481
Fax: (662) 349-6409

The provider's authorized official is Jerry Robert Phipps .
The authorized official title is President And Ceo and has the following contact phone number (662) 349-9481.

The CLIA number assigned to this NPI record is 25D2278061 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 2/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10033413MEDICAIDMISSISSIPPI
20040224MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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