AUXILIUM SPECIALTY APOTHECARY PHARMACY INC
NPI 1174803993
Pharmacy - Compounding Pharmacy in Hattiesburg, MS

NPI Status: Active since August 24, 2011

Contact Information

16 KEYSTONE DR STE B
HATTIESBURG, MS
ZIP 39402
Phone: (601) 255-0077
Fax: (888) 615-6578

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About AUXILIUM SPECIALTY APOTHECARY PHARMACY INC

This page provides the complete NPI Profile along with additional information for Auxilium Specialty Apothecary Pharmacy Inc, a provider established in Hattiesburg, Mississippi operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1174803993 assigned on August 2011. The practitioner's primary taxonomy code is 3336C0004X with license number 09085/1.1 (MS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Auxilium Specialty Apothecary Pharmacy Inc. The authorized official of this NPI record is Brandon Nesler (Pharmacist In Charge)

NPI
1174803993
Provider Legal Name
AUXILIUM SPECIALTY APOTHECARY PHARMACY INC
Other Organization Name
AUXILIUM SPECIALTY APOTHECARY PHARMACY INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16 KEYSTONE DR STE B HATTIESBURG, MS 39402
Location Phone
(601) 255-0077
Location Fax
(888) 615-6578
Mailing Address
16 KEYSTONE DR STE B HATTIESBURG, MS 39402
Mailing Phone
(601) 255-0077
Mailing Fax
(888) 615-6578
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2011
Last Update Date
12-09-2015
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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 Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
09085/1.1
License State
MS
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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)
13336C0003XSuppliers

Pharmacy
Community/Retail 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

BRANDON NESLER

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(662) 404-0755

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
2131932OTHER (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.
1174803993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441606918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 0 + 6 + 9 + 1 + 8 + 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 1174803993 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 provider is registered at the same or nearby location.

MAGNOLIA SPECIALTY PHARMACY INC

Pharmacy

(Community/Retail Pharmacy)

16 KEYSTONE DR STE B
HATTIESBURG, MS
ZIP 39402

(877) 871-3935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174803993, 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 (601) 255-0077

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding 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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