ADVANTAGE APOTHECARY, LLCF (NPI# 1477968980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477968980 |
Entity Type | Organization |
Organization Name | ADVANTAGE APOTHECARY, LLCF |
Practice Address |
5296 Old Highway 11 Ste 4 Hattiesburg MS 39402-8380 |
Practice Telephone | 6014500294 |
Practice Fax Number | 6014500295 |
Mailing Telephone | 6014500294 |
Mailing Fax Number | 6014500295 |
Enumeration Date | 2014-06-23 |
Last Update Date | 2014-06-23 |
Authorized Official Name | WILLIAM C. PIERCE (PIC) |
Authorized Official Telephone | 6014500294 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
13438/2.2 | MS | Suppliers |
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
13438/2.2 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | STATE BOARD PHARMACY PERMIT | 13438/2.2 | 01 |
MS | STATE PHARMACY CONTROL SUBSTANCE PERMIT | CS13438/2.2 | 01 |
Street Address |
5296 OLD HIGHWAY 11 STE 4 |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-8380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
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 |
---|---|---|---|---|
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 |
1154616084 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd Ste 2, Starkville, MS 39759-3613 | 2011-06-20 |
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 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39402 |
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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.