ATLANTIC MEDICAL LLC NPI 1588080881

NPI Information

  • NPI: 1588080881
  • Provider Name: ATLANTIC MEDICAL, LLC
  • Classification: Pharmacy - 3336M0002X
  • Specialization: Mail Order Pharmacy
  • Entity Type: Organization
  • Doing Business As: CANYON HEALTHCARE
  • Address: 1068 THOUSAND OAKS DR
    SUITE B
    HERNANDO, MS
    ZIP 38632
  • Phone: (662) 449-3200

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NPI Details

ATLANTIC MEDICAL, LLC is a mail order pharmacy pharmacy in Hernando, MS. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. ATLANTIC MEDICAL, LLC NPI is 1588080881. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Healthcare.

The provider's business location address is:

1068 THOUSAND OAKS DR
SUITE B
HERNANDO, MS
ZIP 38632-742
Phone: (662) 449-3200
Fax: (888) 891-3929

The provider's authorized official is Jaci Tron .
The authorized official title is Office Manager and has the following contact phone number (662) 449-3200.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 3/11/2014.

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 SuppliesF11493MISSISSIPPINo
23336M0002XPharmacyMail Order PharmacyF12216MISSISSIPPIYes

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
16722520001MEDICARE NSCMISSISSIPPI

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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