MISSISSIPPI STATE HOSPITAL AT WHITFIELD (NPI# 1598841702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598841702 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI STATE HOSPITAL AT WHITFIELD |
| Other Organization Name | MISSISSIPPI STATE HOSPITAL PHARMACY |
| Practice Address |
3550 Highway 468 W Whitfield MS 39193-5529 |
| Mailing Address |
Po Box 157a Whitfield MS 39193-0157 |
| Practice Telephone | 6013518000 |
| Practice Fax Number | 6013518301 |
| Mailing Telephone | (601) 351-8000 |
| Mailing Fax Number | 6013518301 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-05-15 |
| Authorized Official Name | MR. JAMES G. CHASTAIN (DIRECTOR) |
| Authorized Official Telephone | 6013518000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSISSIPPI STATE HOSPITAL AT WHITFIELD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00094048 | 05 |
| Other Name | Type Code |
|---|---|
| Mississippi State Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| 1497788715 | Mississippi State Hospital At Whitfield | Psychiatry & Neurology | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-07-09 |
| 1467573543 | Mississippi State Hospital At Whitfield | Psychiatric Hospital | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2007-04-03 |
| 1568557320 | Mississippi State Hospital At Whitfield | Dentist | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-04 |
| 1477648236 | Mississippi State Hospital At Whitfield | Psychiatric Hospital | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-04 |
| 1396830147 | Mississippi State Hospital At Whitfield | General Acute Care Hospital | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-04 |
| 1053335497 | Mississippi State Hospital At Whitfield | Psychiatry & Neurology | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-07-27 |
| 1982620712 | Mississippi State Hospital At Whitfield | General Practice | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-07-14 |
| Street Address |
3550 HIGHWAY 468 W |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1124663190 | Jordan Reed | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2019-11-13 |
| 1427607688 | Chassity Nicole Vanderford | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2019-09-10 |
| 1528531985 | Ryane Plaster Doty | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2019-01-09 |
| 1750833984 | Clint Trest | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2016-11-04 |
| 1407209489 | Laura M Johnson | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2016-07-14 |
| 1871980995 | Billy Ray Walton | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2015-04-16 |
| 1699177634 | Shonna Pruitt Davis | Clinical Nurse Specialist | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2014-09-22 |
| 1407110554 | Chasity Lynne Torrence | Psychiatry & Neurology | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2012-07-03 |
| 1346511409 | Jenise Kohnke | Psychologist | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2012-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| 1043536535 | Hudspeth Regional Center | Custodial Care Facility | Highway 475 South, Whitfield, MS 39193 | 2010-04-09 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1699331868 | Fulton Specialty Pharmacy, LLC | Pharmacy | 1509 S Adams St Ste D, Fulton, MS 38843-6621 | 2019-05-14 |
| 1063971539 | National Pharmacy of Mississippi, LLC | Pharmacy | 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2019-03-14 |
| 1811468952 | Davidson Pharmacy, LLC | Pharmacy | 203a N 2nd St, Booneville, MS 38829-2701 | 2018-12-16 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1306325402 | Family Drug Mart of Poplarville,llc | Pharmacy | 100 Highway 11 N, Poplarville, MS 39470-2217 | 2018-08-09 |
| 1851883789 | Amory Discount Pharmacy, LLC | Pharmacy | 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 | 2018-06-06 |
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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.