1. Home
  2. Directory
  3. Mississippi
  4. Indianola
  5. Pharmacy
  6. NPI Profile

MAGIC MART PHARMACY, INC
NPI 1164268686
Pharmacy - Mail Order Pharmacy in Indianola, MS

Active since July 03, 2024CLIA 25D2194086 · Waiver
903 HIGHWAY 82 E BLDG G, INDIANOLA, MS 38751(662) 887-4135(662) 887-4135 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magic Mart Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGIC MART PHARMACY, INC (NPI 1164268686), doing business as Magic Mart Pharmacy, Ds, is a healthcare organization registered as a mail order pharmacy in Indianola, Mississippi and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Guy M Phillips, President, as its authorized official.

NPPES Registry Identity

NPI1164268686
Entity TypeOrganization
Primary Taxonomy3336M0002X
Legal Business NameMAGIC MART PHARMACY, INC
Location Address903 HIGHWAY 82 E BLDG GIndianola, MS 38751-2325
Mailing Address903 Highway 82 E Bldg GIndianola, MS 38751-2325 · (662) 887-4135 · Fax (662) 887-4135
Phone(662) 887-4135
Fax(662) 887-4135
Organization SubpartNo
Authorized OfficialGuy M PhillipsPresident · (662) 887-4135
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1164268686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Mail Order PharmacySuppliers
Taxonomy Code3336M0002X
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
903 HIGHWAY 82 E BLDG G, Indianola, MS 38751
Open in Google Maps ↗

Other Names 1

Doing Business AsMagic Mart Pharmacy, Ds

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2194086

Magic Mart Pharmacy · Indianola, MS
Active · expires Sep 27, 2026
CLIA Number25D2194086
Laboratory TypePharmacy
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorGuy M. Phillips
Laboratory Phone(662) 887-4135
Laboratory LocationMagic Mart Pharmacy903 Hwy 82 E Bldg G, Indianola, MS 38751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGIC MART PHARMACY,INC
Pharmacy
903 HIGHWAY 82 E BLDG G
INDIANOLA, MS 38751
Sunflower County (662) 887-4135
MAGIC MART PHARMACY,INC
Pharmacy (Long Term Care Pharmacy)
903 HIGHWAY 82 E BLDG G
INDIANOLA, MS 38751
Sunflower County (662) 887-4135
ROBYN SOIGNIER
Pharmacist
903 HIGHWAY 82 E BLDG G
INDIANOLA, MS 38751
Sunflower County (662) 887-4135
GUY M PHILLIPS
Pharmacist
903 HIGHWAY 82 E BLDG G
INDIANOLA, MS 38751
Sunflower County (662) 887-4135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magic Mart Pharmacy, Inc's NPI number?

The NPI number for Magic Mart Pharmacy, Inc is 1164268686. It was assigned to this organization in the NPPES registry on July 3, 2024. The provider is doing business as Magic Mart Pharmacy, DS.

Where is Magic Mart Pharmacy, Inc located?

Magic Mart Pharmacy, Inc is located at 903 Highway 82 E Bldg G, Indianola, MS 38751. The listed phone number is (662) 887-4135.

What is Magic Mart Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

Does Magic Mart Pharmacy, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2194086) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magic Mart Pharmacy, Inc was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.