ROLLING FORK DRUG CO NPI 1508413592

NPI Details

ROLLING FORK DRUG CO is a community/retail pharmacy pharmacy in Rolling Fork, 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. ROLLING FORK DRUG CO NPI is 1508413592. The provider is registered as an organization entity type.

The provider's business location address is:

20917 HIGHWAY 61
ROLLING FORK, MS
ZIP 39159-027
Phone: (662) 873-4723
Fax: (662) 873-4002

The provider's authorized official is Guy M Phillips .
The authorized official title is Owner/president and has the following contact phone number (662) 207-0616.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 8/23/2019 and was last updated on 12/19/2019.

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: