BAZE PHARMACY LLC (NPI# 1154616084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154616084 |
| Entity Type | Organization |
| Organization Name | BAZE PHARMACY LLC |
| Other Organization Name | BAZE SPECIALTY PHARMACY |
| Practice Address |
900 Stark Rd Ste 2 Starkville MS 39759-3613 |
| Practice Telephone | 6623235097 |
| Practice Fax Number | 6623235079 |
| Mailing Telephone | 6623235033 |
| Mailing Fax Number | 6623235053 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | ATHELIA EZE (PHARMACIST/OWNER) |
| Authorized Official Telephone | 6623235033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
08973 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06407713 | 05 | |
| MS | 06174382 | 05 | |
| PK | 2130585 | 01 |
| Other Name | Type Code |
|---|---|
| BAZE Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029951 | Baze Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1526 E Forrest Ave Ste 102, East Point, GA 30344-6979 | 2016-04-25 |
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| 1265921613 | Baze Pharmacy LLC | Pharmacist | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-05-01 |
| 1457668246 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-09-01 |
| Street Address |
900 STARK RD STE 2 |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912925355 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1417469388 | Noble Health Services, Inc. | Pharmacy | 2506 Lakeland Dr Ste 201, Flowood, MS 39232-7656 | 2017-10-31 |
| 1437513876 | The Transplant Pharmacy, LLC | Pharmacy | 630 Lakeland East Dr Ste B, Flowood, MS 39232-9565 | 2016-04-12 |
| 1043510381 | Hemophilia Specialty Group, LLC | Pharmacy | 1500 Gateway St, Suite B, Grenada, MS 38901-2846 | 2010-11-02 |
| 1831407113 | Northeast Pharmaceuticals Inc | Pharmacy | 1707 Hospital St, Greenville, MS 38703-3225 | 2010-09-20 |
| 1083936678 | Hemophilia Infusion Managers LLC | Pharmacy | 510 E Waldron St, Corinth, MS 38834-4861 | 2010-02-23 |
| 1316278062 | A & A Home Health Equipment, Inc. | Pharmacy | 3080 E Reed Rd, Greenville, MS 38703-9410 | 2010-01-20 |
| 1568669208 | Jackson's Discount Pharmacy, Inc. | Pharmacy | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2007-06-27 |
| 1932133196 | Sartin's Vital Care, Inc. | Pharmacy | 1311 Broad Ave, Gulfport, MS 39501 | 2006-07-11 |
| 1235175746 | Trustmore Incorporated | Pharmacy | 102 Metroplex Blvd, Suite A, Pearl, MS 39208 | 2006-06-22 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on BAZE PHARMACY LLC.
| 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.