PHARMACY PLUS INC. NPI 1013410737

NPI Information

  • NPI: 1013410737
  • Provider Name: PHARMACY PLUS, INC.
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • : VITAL CARE COMPOUNDER
  • CLIA Number: 25D2182440
  • Address: 115 S 40TH AVE
    SUITE A
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 261-0503

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NPI Details

PHARMACY PLUS, INC. is a compounding pharmacy pharmacy in Hattiesburg, MS. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. PHARMACY PLUS, INC. NPI is 1013410737. The provider is registered as an organization entity type.
The provider Vital Care Compounder.

The provider's business location address is:

115 S 40TH AVE
SUITE A
HATTIESBURG, MS
ZIP 39402-600
Phone: (601) 261-0503
Fax: (601) 261-0127

The provider's authorized official is Melissa James .
The authorized official title is Director Of Operations and has the following contact phone number (601) 261-0503.

The CLIA number assigned to this NPI record is 25D2182440 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 4/19/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding Pharmacy16882-1.1MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12176612OTHERPK
2PENDINGMEDICAIDMISSISSIPPI

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: 3/30/2025

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