PROFESSIONAL PHARMACY INC. NPI 1245382811

NPI Information

  • NPI: 1245382811
  • Provider Name: PROFESSIONAL PHARMACY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: PROFESSIONAL PHARMACY DME
  • Address: 201 HOSPITAL DR
    TYLERTOWN, MS
    ZIP 39667
  • Phone: (601) 876-2487

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NPI Details

PROFESSIONAL PHARMACY, INC. is a durable medical equipment medical supplies in Tylertown, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROFESSIONAL PHARMACY, INC. NPI is 1245382811. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Pharmacy Dme.

The provider's business location address is:

201 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667-019
Phone: (601) 876-2487
Fax: (601) 876-0222

The provider's authorized official is Karen Smith .
The authorized official title is President and has the following contact phone number (601) 876-2487.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 6/30/2010.

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
1332B00000XDurable Medical Equipment & Medical Supplies02151 01.1MISSISSIPPIYes

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
100040053MEDICAIDMISSISSIPPI
24809470001MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIDURABLE MEDICAL EQUIPMENT

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: 11/21/2025

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