MAGNOLIA SPECIALTY PHARMACY INC.
NPI 1720368541
Pharmacy - Community/Retail Pharmacy in Hattiesburg, MS

NPI Status: Active since August 24, 2011

Contact Information

16 KEYSTONE DR STE B
HATTIESBURG, MS
ZIP 39402
Phone: (877) 871-3935
Fax: (888) 990-0575

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About MAGNOLIA SPECIALTY PHARMACY INC.

This page provides the complete NPI Profile along with additional information for Magnolia Specialty Pharmacy Inc., a provider established in Hattiesburg, Mississippi operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1720368541 assigned on August 2011. The practitioner's primary taxonomy code is 3336C0003X with license number 09087 (MS). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Magnolia Specialty Pharmacy Inc.. The authorized official of this NPI record is David Parker (President/owner)

NPI
1720368541
Provider Legal Name
MAGNOLIA SPECIALTY PHARMACY INC
Other Organization Name
MAGNOLIA SPECIALTY PHARMACY INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16 KEYSTONE DR STE B HATTIESBURG, MS 39402
Location Phone
(877) 871-3935
Location Fax
(888) 990-0575
Mailing Address
16 KEYSTONE DR STE B HATTIESBURG, MS 39402
Mailing Phone
(877) 871-3935
Mailing Fax
(888) 990-0575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2011
Last Update Date
04-11-2017
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
09087
License State
MS
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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)
13336C0004XSuppliers

Pharmacy
Compounding 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

DAVID PARKER

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(601) 606-0252

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
2131699OTHER (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.
1720368541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740661658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 6 + 6 + 1 + 6 + 5 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1720368541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174803993AUXILIUM SPECIALTY APOTHECARY PHARMACY INC
Organization
Pharmacy (Compounding Pharmacy)16 KEYSTONE DR STE B
HATTIESBURG, MS 39402
(601) 255-0077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720368541, enumerated in the NPI registry as an "organization" on August 24, 2011

The provider is located at 16 Keystone Dr Ste B Hattiesburg, Ms 39402 and the phone number is (877) 871-3935

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail 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 August 24, 2011. 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].
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