MEDICAL PLAZA ON ALCORN LLC
NPI 1750972618
Pharmacy - Long Term Care Pharmacy in Corinth, MS

NPI Status: Active since February 02, 2021

Contact Information

111 ALCORN DR
CORINTH, MS
ZIP 38834
Phone: (662) 286-6991

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance
  • CLIA Number: 25D2182251
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-16-2026

About MEDICAL PLAZA ON ALCORN LLC

This page provides the complete NPI Profile along with additional information for Medical Plaza On Alcorn Llc, a provider established in Corinth, Mississippi operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1750972618 assigned on February 2021. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Rick W Quinn Rph (Owner)

NPI
1750972618
Provider Name
MEDICAL PLAZA ON ALCORN LLC
Entity Type
Organization
Location Address
111 ALCORN DR CORINTH, MS 38834
Location Phone
(662) 286-6991
Mailing Address
111 ALCORN DR CORINTH, MS 38834
Mailing Phone
(662) 286-6991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2021
Last Update Date
02-02-2021
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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Insurance Plans Accepted

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

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Robin Oak $1,000 Gold - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • SummaCare Bronze 8000 - HMO
  • SummaCare Bronze 8000 with Adult Vision Exam - HMO
  • SummaCare Bronze 9200 with 3 Free PCP Visits - HMO
  • SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
  • SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam - HMO
  • SummaCare Silver 7000 with 3 Free PCP Visits - HMO

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

RICK W QUINN RPH

Authorized Official Title
OWNER
Authorized Official Phone
(662) 286-6991

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
0095265MEDICAID (05)MS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2182251
Facility Type
Pharmacy
Certificate Effective Date
April 17, 2024
Certificate Expiration Date
April 16, 2026
Laboratory Director
ANDY NULL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medical Plaza On Alcorn Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDICAL PLAZA ON ALCORN LLC

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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.
1750972618
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100187462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 7 + 4 + 6 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750972618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972642775RICK QUINN
Organization
Durable Medical Equipment & Medical Supplies111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1326035528MR. RICK W QUINN RPH
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1497852602MEDICAL PLAZA ON ALCORN LLC
Organization
Pharmacy (Community/Retail Pharmacy)111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1598246050DR. ALAN LEE BLUNT PHARMD
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1235614314MR. JOHN ANDY NULL
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1043795123 DANIEL WAYNE HINTON PHARM.D.
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1326523424 CODY RYAN SWINDLE
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1649755737 MEGHAN L BUTLER
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1255816351 MARTY DILWORTH RPH
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 284-5459
1124503495 MICHAEL EDWARD BONDS RPH
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1902945793MEDICAL PLAZA PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991
1487484382 HUNTER WADE SWINDLE PHARM D
Individual
Pharmacist111 ALCORN DR
CORINTH, MS 38834
(662) 286-6991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750972618, enumerated in the NPI registry as an "organization" on February 02, 2021

The provider is located at 111 Alcorn Dr Corinth, Ms 38834 and the phone number is (662) 286-6991

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 25D2182251 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 02, 2021. 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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