SOUTHERN PHARMACEUTICAL CORPORATION (NPI# 1104938992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104938992 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PHARMACEUTICAL CORPORATION |
| Practice Address |
165 Rosecrest Dr Columbus MS 39701-5501 |
| Mailing Address |
Po Box 8360 Columbus MS 39705-0009 |
| Practice Telephone | 6623272060 |
| Practice Fax Number | 6623276659 |
| Mailing Telephone | 6623272060 |
| Mailing Fax Number | 6623276659 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | DOUGLAS ELLIS MARTIN (VICE PRESIDENT) |
| Authorized Official Telephone | 6623272060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
02776 02.0 | MS | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
02591 06 | MS | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
02776 02 | MS | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
02776 01 | MS | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
02776 02 | MS | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
02591 | MS | Suppliers |
| Y | 333600000X | Pharmacy | 02591 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0173528-01 | 05 | |
| TN | 11531 | 05 | |
| AR | 128104716 | 05 | |
| AR | 129260407 | 05 | |
| TN | 4581848 | 05 | |
| KY | 90012436 | 05 | |
| OH | 0298324 | 05 | |
| IN | 200041370A | 05 | |
| TN | 0126941 | 05 | |
| AL | 009412720 | 05 | |
| TN | 1455025 | 05 | |
| LA | 1992721 | 05 | |
| OK | 200059890A | 05 | |
| TX | 0112328-01 | 05 | |
| MS | 04285815 | 05 | |
| MS | 00040398 | 05 | |
| OK | 200059890B | 05 | |
| KY | 54031018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356437255 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 2105 Broad St, Selma, AL 36701-4120 | 2006-10-05 |
| 1114013356 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 1670 Highway 51, Ponchatoula, LA 70454-6375 | 2006-10-05 |
| 1831285741 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 880 N Dorothy Dr, #808, Richardson, TX 75081-2772 | 2006-10-05 |
| 1578659629 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 338 Highway 12 W Ste A, Kosciusko, MS 39090 | 2006-10-05 |
| 1174618763 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 4202 11th St, Gulfport, MS 39501-2501 | 2006-10-03 |
| 1093809774 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 10501 Road 375, Philadelphia, MS 39350 | 2006-10-03 |
| 1235223801 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 303 Hwy. 30 West, Suite A, New Albany, MS 38652 | 2006-10-03 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1285727719 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 10551 Outdoor Way, Suite H, Building 2, Gulfport, MS 39503-4698 | 2006-10-02 |
| 1366536856 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 2002 Hwy. 45 North, Suite 1, Columbus, MS 39705-2247 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | SOUTHERN PHARMACEUTICAL CORPORATION | 605 2nd Avenue North Ste 202, Columbus, MS 39701 |
| Colorado Business Entities | SOUTHERN PHARMACEUTICAL CORPORATION | 168 Rosecrest Ln, Columbus, MS 39701 |
| Street Address |
165 ROSECREST DR |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39701-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370828 | Southern Hospitality Transportation | Non-emergency Medical Transport (VAN) | 702 #1 Hwy 45 North, Columbus, MS 39701 | 2019-01-14 |
| 1457844466 | Red 2 Black Consulting, LLC | Nurse Practitioner | 68 Brickerton St, Columbus, MS 39701 | 2018-06-13 |
| 1194134478 | John Wesley Conn | Counselor | 1001 Maint St, Columbus, MS 39701 | 2014-08-12 |
| 1902109903 | Jeffrey Wayne Carter | Contractor | 1809 7th Avenue North, Columbus, MS 39701 | 2010-12-13 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1134322886 | Johanna R Price | Speech-Language Pathologist | 1100 College Street Muw 1340, Columbus, MS 39701 | 2007-06-08 |
| 1396952057 | Roland Franklin Colom | Dentist | 907 Military Rd, Columbus, MS 39701 | 2007-05-16 |
| 1821142902 | Bob W Meek | Counselor | 200 6th St North, Suite 401, Columbus, MS 39701 | 2007-01-23 |
| 1447324173 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 818 2nd Ave North, Columbus, MS 39701 | 2006-11-17 |
| 1548347081 | Kimberly Mullin | Counselor | 700 10th Ave South, Columbus, MS 39701 | 2006-11-01 |
| Find all providers in zip 39701 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114013 | North Linden Pharmacy | Pharmacy | 1000 Georgesville Rd Ste B, Columbus, OH 43228-3304 | 2020-11-05 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1467086652 | Scriptdrop, Inc | Pharmacy | 855 Grandview Ave Ste 110, Columbus, OH 43215-1102 | 2020-02-26 |
| 1982169249 | Golden Rx Pharmacy | Pharmacy | 1959 E Dublin Granville Rd, Columbus, OH 43229-3508 | 2019-01-31 |
| 1487163598 | Phil Pharmacy Solutions, LLC | Pharmacy | 5900 Roche Dr Ste 107, Columbus, OH 43229-3232 | 2017-09-21 |
| 1629594726 | Emmanuel Wobil Quainoo | Pharmacy | 4878 W Broad St, Columbus, OH 43228-1602 | 2017-08-21 |
| 1407383524 | Global Rx Pharmacy | Pharmacy | 881 E Main St Ste 201, Columbus, OH 43205-1713 | 2017-05-19 |
| 1598290157 | Nch Yellow Pharmacy | Pharmacy | 380 Butterfly Garden Drive, Columbus, OH 43215 | 2017-04-20 |
| 1538605860 | Amc Ohio LLC | Pharmacy | 736 E Long St, Columbus, OH 43203-1845 | 2017-01-10 |
| 1255873766 | Optumrx Home Delivery of Ohio LLC | Pharmacy | 1 Nationwide Plz, Attn: James Rickett, Columbus, OH 43215-2226 | 2016-11-15 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.