WESTGATE DRUGS INC (NPI# 1477618809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477618809 |
| Entity Type | Organization |
| Organization Name | WESTGATE DRUGS INC |
| Other Organization Name | WESTGATE DRUGS INC |
| Practice Address |
1015 Lee Dr Suite 11 Clarksdale MS 38614-3698 |
| Practice Telephone | 6626277857 |
| Practice Fax Number | 6626277225 |
| Mailing Telephone | 6626277857 |
| Mailing Fax Number | 6626277225 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | EDDIE ELLIS (OWNER/PHARMACIST) |
| Authorized Official Telephone | 6626277857 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
00415/1.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2050540 | 01 | |
| MS | 00035351 | 05 |
| Other Name | Type Code |
|---|---|
| WESTGATE DRUGS INC | Doing Business As Name - Organization |
| Street Address |
1015 LEE DR SUITE 11 |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396857165 | Michael Kevin Spears | Occupational Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-08-31 |
| 1215206016 | Family First Clinic of Clarksdale, Pllc | Family Medicine | 1015 Lee Dr, Suite 13, Clarksdale, MS 38614-3698 | 2011-12-22 |
| 1154586774 | Timothy Craig Byrd | Physical Therapist | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2008-07-23 |
| 1962617266 | Brian Andrew Woods | Physical Therapist | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2007-05-11 |
| 1558431338 | Jayson Phillips Smith | Physical Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-11-08 |
| 1245330430 | Preston Deshawn Ratiff IIi | Physical Therapist | 1015 Lee Dr, Suite 1 B, Clarksdale, MS 38614-3698 | 2006-09-25 |
| 1750486049 | Advanced Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1015 Lee Dr, Suite 1b, Clarksdale, MS 38614-3698 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1649212242 | Shelby Drug Co Inc Hwy 61 South | Pharmacy | 549 Medical Dr, Clarksdale, MS 38614-6733 | 2006-06-11 |
| 1801447214 | 3 Brothers Pharmacy LLC | Pharmacy | 645 Evelyn Ave, Clarksdale, MS 38614-5307 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.