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FAMILY DRUG MART OF POPLARVILLELLC NPI 1306325402


NPI Information

NPI: 1306325402
Provider Name: FAMILY DRUG MART OF POPLARVILLE,LLC

Doing Business As: FAMILY DRUG MART OF POPLARVILLE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
100 HIGHWAY 11 N
POPLARVILLE, MS
ZIP 39470
Phone: (504) 338-7992
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FAMILY DRUG MART OF POPLARVILLE,LLC is a pharmacy in Poplarville, 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. FAMILY DRUG MART OF POPLARVILLE,LLC NPI is 1306325402. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Drug Mart Of Poplarville.

The provider's business location address is:

100 HIGHWAY 11 N
POPLARVILLE, MS
ZIP 39470-217
Phone: (504) 338-7992
Fax: (985) 727-7494

The provider's authorized official is Jose Miguel Yanez .
The authorized official title is Owner/pharmacist and has the following contact phone number (504) 338-7992.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 12/24/2021.


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
1333600000XPharmacy17206MISSISSIPPIYes

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
19030801MEDICAIDMISSISSIPPI

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: 5/5/2024

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.