SINGING RIVER SERVICES REGION XIV
NPI 1265837983
Pharmacy - Clinic Pharmacy in Gautier, MS

NPI Status: Active since October 23, 2014

Contact Information

3407 SHAMROCK CT
GAUTIER, MS
ZIP 39553
Phone: (228) 497-0690
Fax: (228) 497-0794

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  • Organization
  • Pharmacy
  • Clinic Pharmacy

About SINGING RIVER SERVICES REGION XIV

This page provides the complete NPI Profile along with additional information for Singing River Services Region Xiv, a provider established in Gautier, Mississippi operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1265837983 assigned on October 2014. The practitioner's primary taxonomy code is 3336C0002X with license number 14452/5.1 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Singing River Services Region Xiv. The authorized official of this NPI record is Bretta St Romain (Pharmacist-in-charge)

NPI
1265837983
Provider Legal Name
SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
Other Organization Name
SINGING RIVER SERVICES REGION XIV
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3407 SHAMROCK CT GAUTIER, MS 39553
Location Phone
(228) 497-0690
Location Fax
(228) 497-0794
Mailing Address
3407 SHAMROCK CT GAUTIER, MS 39553
Mailing Phone
(228) 497-0690
Mailing Fax
(228) 497-0794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2014
Last Update Date
04-28-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
14452/5.1
License State
MS
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETTA ST ROMAIN

Authorized Official Title
PHARMACIST-IN-CHARGE
Authorized Official Phone
(228) 497-0690

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01832567MEDICAID (05)MS 
2153586OTHER (01)PK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265837983
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212516314916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 3 + 1 + 4 + 9 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1265837983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639114663 RICHARD LORNAL DODGE PHD CADCII ICRE
Individual
Counselor (Addiction (Substance Use Disorder))3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1851407829SINGING RIVER SERVICES
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1811087521 REBECCA DAY MS
Individual
Counselor (Mental Health)3407 SHAMROCK CT SINGING RIVER SERVICES
GAUTIER, MS 39553
(228) 497-0690
1114054533MS. TANZANRIO N HAWTHORNE BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1225165616MISS CARLISA ROCHELLE EDWARDS BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0670
1285761502MS. SPIECEY JOANNE NELSON MSW
Individual
Social Worker3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1154458487MS. TAMMY AYANNA POWELL BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1063549384MS. CHESKA SHARAE COLEMAN BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1194852426MR. TY WILLIAM DENVER STAFFORD BA
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1942337365MRS. CASSANDRA RENE WALKER BS MS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1427185131MS. JOY E YON MS
Individual
Counselor (Addiction (Substance Use Disorder))3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1972629426MRS. LINDA GAIL BRATCHER MS
Individual
Counselor (Mental Health)3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1316063860 DONNA FAYE RODGERS BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0670
1740302652MS. JESSICA LETRIC ALFORD BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0670
1801918719 KIMBERLY DANIELLE WILSON BS
Individual
Case Manager/Care Coordinator3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1205050093MR. JOE LYNN WASHBURN MA
Individual
Counselor (Mental Health)3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0670
1134330772MR. ANTHONY D FRANK MA
Individual
Counselor (Addiction (Substance Use Disorder))3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1588875124MR. JOSEPH WAYNE CARMAN JR. MA
Individual
Counselor3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690
1639370331 NINA CHRISTINE HECKLER
Individual
Counselor3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 769-1280
1245437474 SHEILA ELAINE ANDREWS MSW
Individual
Counselor (Mental Health)3407 SHAMROCK CT
GAUTIER, MS 39553
(228) 497-0690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265837983, enumerated in the NPI registry as an "organization" on October 23, 2014

The provider is located at 3407 Shamrock Ct Gautier, Ms 39553 and the phone number is (228) 497-0690

This medical organization specializes in Pharmacy with taxonomy code 3336C0002X with a focus in Clinic Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.