ADVANTAGE APOTHECARY, LLCF


Address: 5296 Old Highway 11 Ste 4, Hattiesburg, MS 39402-8380
Phone: 6014500294

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS STATE BOARD PHARMACY PERMIT 13438/2.2 01
MS STATE PHARMACY CONTROL SUBSTANCE PERMIT CS13438/2.2 01

Office Location

Street Address 5296 OLD HIGHWAY 11 STE 4
City HATTIESBURG
State MS
Zip Code 39402-8380

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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
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Taxonomy Information

Taxonomy Code 3336S0011X
Grouping Suppliers
Classification Pharmacy
Specialization Specialty Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City HATTIESBURG
Zip Code 39402

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Dataset Information

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.

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