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SOUTHERN HOME CARE NPI 1831115781


NPI Information

NPI: 1831115781
Provider Name: SOUTHERN HOME CARE
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
8865 FIRST INDUSTRIAL DR
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 342-8527
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SOUTHERN HOME CARE is a pharmacy in Southaven, MS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTHERN HOME CARE NPI is 1831115781. The provider is registered as an organization entity type.

The provider's business location address is:

8865 FIRST INDUSTRIAL DR
SOUTHAVEN, MS
ZIP 38671-919
Phone: (662) 342-8527
Fax: (662) 280-3708

The provider's authorized official is Clifton Gant .
The authorized official title is Vp Of Ops and has the following contact phone number (662) 342-8527.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy926MISSISSIPPIYes
23336S0011XPharmacySpecialty PharmacyX

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
12586432OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
24581871MEDICAIDMISSISSIPPI
300045117MEDICAIDMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.