BAZE PHARMACY LLC (NPI# 1457668246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457668246 |
| Entity Type | Organization |
| Organization Name | BAZE PHARMACY LLC |
| Other Organization Name | BAZE PHARMACY LLC |
| Practice Address |
900 Stark Rd Starkville MS 39759-3613 |
| Practice Telephone | 6623235033 |
| Practice Fax Number | 6623235053 |
| Mailing Telephone | 6623235033 |
| Mailing Fax Number | 6623235053 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | ATHELIA EZE (R.PH./OWNER) |
| Authorized Official Telephone | 6623235033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
07064 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126383 | 01 | |
| MS | 06174382 | 05 | |
| MS | 06407713 | 05 |
| Other Name | Type Code |
|---|---|
| BAZE PHARMACY LLC | 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 |
| 1154616084 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd Ste 2, Starkville, MS 39759-3613 | 2011-06-20 |
| 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 |
| Street Address |
900 STARK RD |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| 1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
| 1992273072 | Ernestine Ivy | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-11-07 |
| 1265921613 | Baze Pharmacy LLC | Pharmacist | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-05-01 |
| 1699262089 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-04-20 |
| 1609117514 | Mae Palina Clark | Dietitian, Registered | 900 Stark Rd, Starkville, MS 39759-3613 | 2013-03-04 |
| 1053633677 | Iyabo O Adebiyi | Registered Nurse | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-02-23 |
| 1316040264 | Felicia Deloris Edwards | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-09-06 |
| 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 | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558851 | Brick City Compounding LLC | Pharmacy | 159 Fountains Blvd Ste C, Madison, MS 39110-6344 | 2020-08-10 |
| 1164968624 | Saver Express LLC | Pharmacy | 1051 Highland Colony Pkwy Ste C, Ridgeland, MS 39157-7701 | 2017-01-09 |
| 1902359342 | Asm Inc | Pharmacy | 9065 Sandidge Center Cv, Suite A, Olive Branch, MS 38654-3574 | 2016-08-02 |
| 1538522446 | Kinetix Group LLC | Pharmacy | 104 Business Park Dr Ste H, Suite H, Ridgeland, MS 39157-6017 | 2016-03-30 |
| 1477968980 | Advantage Apothecary, LLCf | Pharmacy | 5296 Old Highway 11 Ste 4, Hattiesburg, MS 39402-8380 | 2014-06-23 |
| 1275951402 | Olde Towne Drugs, Ltd. | Pharmacy | 1645 W Government Cv Ste E, Brandon, MS 39042-4602 | 2014-04-04 |
| 1992139711 | Midsouth Medical Specialties, LLC | Pharmacy | 185 W Center St, Hernando, MS 38632-2268 | 2013-08-28 |
| 1285987461 | Southwest Pharmacy Inc | Pharmacy | 1005 W Congress St, Brookhaven, MS 39601-2603 | 2012-10-24 |
| 1407109457 | Keystone Pharmacy LLC | Pharmacy | 106 Highland Way Ste 206, Madison, MS 39110-6930 | 2012-10-15 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.