GEORGE COUNTY PHARMACY (NPI# 1841623808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841623808 |
| Entity Type | Organization |
| Organization Name | GEORGE COUNTY PHARMACY |
| Other Organization Name | GEORGE COUNTY PHARMACY |
| Practice Address |
92 Ratliff St Lucedale MS 39452-6537 |
| Practice Telephone | 6016736181 |
| Practice Fax Number | 6017664293 |
| Mailing Telephone | 6016736181 |
| Mailing Fax Number | 6017664293 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | CARMAN WALLEY (DOP) |
| Authorized Official Telephone | 6016736181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
12325/2.6 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140621 | 01 |
| Other Name | Type Code |
|---|---|
| George County Pharmacy | Doing Business As Name - Organization |
| Street Address |
92 RATLIFF ST |
| City | LUCEDALE |
| State | MS |
| Zip Code | 39452-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215976022 | Larry A Henderson Jr. | Family Medicine | 92 Ratliff St, Lucedale, MS 39452-6537 | 2006-06-06 |
| 1962960203 | Wilda Parker | Pharmacist | 92 Ratliff St, Lucedale, MS 39452-6537 | 2019-03-05 |
| 1396267308 | Ashley Nicole Eubanks | Pharmacist | 92 Ratliff St, Lucedale, MS 39452-6537 | 2017-07-11 |
| 1205208790 | Community Medical Physicians, PC | Pediatrics | 92 Ratliff St, Lucedale, MS 39452-6537 | 2015-10-23 |
| 1346642428 | Courtney Burns | Registered Nurse | 92 Ratliff St, Lucedale, MS 39452-6537 | 2014-09-21 |
| 1942609664 | Kelley Debar | Registered Nurse | 92 Ratliff St, Lucedale, MS 39452-6537 | 2014-08-19 |
| 1134558315 | Community Urgent Care | Family Medicine | 92 Ratliff St, Lucedale, MS 39452-6537 | 2013-11-07 |
| 1184961054 | Norman M Parnell | Nurse Practitioner | 92 Ratliff St, Lucedale, MS 39452-6537 | 2013-01-11 |
| 1427353283 | Selena Lee Smith | Nurse Practitioner | 92 Ratliff St, Lucedale, MS 39452-6537 | 2011-01-25 |
| 1427363928 | Inpatient Physician Services | Hospitalist | 92 Ratliff St, Lucedale, MS 39452-6537 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420609 | Jennifer K. Walker | Massage Therapist | 352 Oak Street, Lucedale, MS 39452 | 2010-06-29 |
| 1780827543 | David J.conner D.d.s. | Dentist | 17215 Hwy 26, Lucedale, MS 39452 | 2009-04-09 |
| 1285873042 | Rebecca Graves | Nurse Practitioner | 92 W Ratliff St, Lucedale, MS 39452 | 2009-02-18 |
| 1639381791 | George County School District | Registered Nurse | Rocky Creek Elementary, 2183 Rocky Creek Road, Lucedale, MS 39452 | 2007-05-03 |
| 1386856425 | George County School District | Registered Nurse | Central Elementary School, 14159 Hwy 26 West, Lucedale, MS 39452 | 2007-05-03 |
| 1730301961 | George County School District | Registered Nurse | Agricola Elementary School, 6165 Hwy 613, Lucedale, MS 39452 | 2007-05-03 |
| 1932311156 | George County School District | Registered Nurse | Lucedale Elementary School, 689 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1295947471 | George County School District | Registered Nurse | George County Middle School, 330 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1952522583 | David J. Conner | Dentist | 17215 Highway 26 W, Lucedale, MS 39452 | 2007-05-01 |
| 1225258676 | Keith A Brown | Dentist | 16 Plaza Drive, Lucedale, MS 39452 | 2007-04-26 |
| Find all providers in zip 39452 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
| 1518040500 | Region Iv Mh Mr Commission Phcy | Pharmacy | 2301b E Chambers Dr, Booneville, MS 38829 | 2006-10-23 |
| 1295268985 | Southern Pharmacy Clinical Management | Pharmacy | 3224 Dijon Ave, Ocean Springs, MS 39564-8520 | 2017-04-10 |
| 1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
| 1689039711 | River Region Health System | Pharmacy | 2100 Highway 61 N, Pharmacy, Vicksburg, MS 39183-8211 | 2015-12-16 |
| 1891171351 | Prime Urgent Medical Clinic | Pharmacy | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2015-08-07 |
| 1578956264 | Alliance Healthcare System | Pharmacy | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 2015-03-05 |
| 1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
| 1689915423 | Region Iv Desoto County Pharmacy | Pharmacy | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2013-03-04 |
| 1740417922 | Coastal Family Health Center, Inc. | Pharmacy | 1025 Division St, Ste A, Biloxi, MS 39530-2906 | 2009-06-16 |
| Find all providers with the same taxonomy | ||||
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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.