PROFESSIONAL PHARMACY INC. NPI 1568513711

NPI Information

  • NPI: 1568513711
  • Provider Name: PROFESSIONAL PHARMACY, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Former Legal Business Name: PROFESSIONAL PHARMACY OF TYLERTOWN
  • Address: 201 HOSPITAL DR
    TYLERTOWN, MS
    ZIP 39667
  • Phone: (601) 876-2487

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NPI Details

PROFESSIONAL PHARMACY, INC. is a pharmacy in Tylertown, 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. PROFESSIONAL PHARMACY, INC. NPI is 1568513711. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Professional Pharmacy Of Tylertown.

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 1/15/2007 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
1333600000XPharmacy02151 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
100030104MEDICAIDMISSISSIPPI

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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