PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC. (NPI# 1578575379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578575379 |
Entity Type | Organization |
Organization Name | PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC. |
Other Organization Name | VITAL CARE INFUSION SERVICES OF HATTIESBURG |
Practice Address |
115 S 40th Ave Hattiesburg MS 39402-6600 |
Mailing Address |
115 S 40th Ave Ste B Hattiesburg MS 39402-6600 |
Practice Telephone | 6012610503 |
Mailing Telephone | 6012610503 |
Mailing Fax Number | 6012610127 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2019-08-29 |
Authorized Official Name | MISSY JAMES (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 6012610503 |
Authorized Official Credential | PT, CPHT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
04427/02.0 | MS | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
04427/02.0 | MS | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 04427/02.0 | MS | Suppliers |
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
04427/02.0 | MS | Suppliers |
N | 333600000X | Pharmacy | 04427/02.0 | MS | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04427/02.0 | MS | Suppliers |
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
04427/02.0 | MS | Suppliers |
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
04427/02.0 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | BCBS OF MS | 000030051 | 01 |
MS | 00440592 | 05 | |
MS | 00330185 | 05 |
Other Name | Type Code |
---|---|
VITAL CARE INFUSION SERVICES OF HATTIESBURG | Doing Business As Name - Organization |
Street Address |
115 S 40TH AVE |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-6600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013410737 | Pharmacy Plus, Inc. | Pharmacy | 115 S 40th Ave, Suite A, Hattiesburg, MS 39402-6600 | 2018-03-09 |
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 | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447498647 | Bond Pharmacy Inc. | Pharmacy | 623 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157-6077 | 2009-01-26 |
1881778330 | Lab Discount Drugs, Inc. | Pharmacy | 923 Wayne St, Waynesboro, MS 39367-2571 | 2006-10-24 |
1104938992 | Southern Pharmaceutical Corporation | Pharmacy | 165 Rosecrest Dr, Columbus, MS 39701-5501 | 2006-08-31 |
1730583204 | Vital Care, Inc | Pharmacy | 1170 Ne Industrial Park Rd, Meridian, MS 39301-1100 | 2014-10-13 |
1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1750309183 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
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.