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TYSON DRUGS INC LTC
NPI 1194441493
Pharmacy - Long Term Care Pharmacy in Holly Springs, MS

Active since October 18, 2022CLIA 25D2117895 · Waiver
145 E VAN DORN AVE, HOLLY SPRINGS, MS 38635(662) 252-2321(662) 252-1656 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2023, Oct 18, 2022 (2 updates tracked since 2022).

About Tyson Drugs Inc Ltc NPPES

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

TYSON DRUGS INC LTC (NPI 1194441493) is a healthcare organization registered as a long term care pharmacy in Holly Springs, Mississippi and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Robert H Lomenick, Owner, as its authorized official.

NPPES Registry Identity

NPI1194441493
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameTYSON DRUGS INC
Location Address145 E VAN DORN AVEHolly Springs, MS 38635-3025
Mailing AddressPo Box 10Holly Springs, MS 38635-0010 · (662) 252-2321 · Fax (662) 252-1656
Phone(662) 252-2321
Fax(662) 252-1656
Organization SubpartNo
Authorized OfficialRobert H LomenickOwner · (662) 252-2321
Enumeration DateOctober 18, 2022
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1194441493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
145 E VAN DORN AVE, Holly Springs, MS 38635
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Other Names 1

Doing Business AsTyson Drugs Inc Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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 25D2117895

Tyson Drug Company · Holly Springs, MS
Active · expires Aug 24, 2026
CLIA Number25D2117895
Laboratory TypePharmacy
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorBob Lomenick
Laboratory Phone(662) 252-2321
Laboratory LocationTyson Drug Company145 E Van Dorn Ave, Holly Springs, MS 38635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Tyson Drugs carries, from the Medicare DMEPOS supplier directory.

Tyson Drugs

DMEPOS supplier · Holly Springs, MSOperated by Tyson Drugs Inc
✔

Accepts Medicare assignment

Tyson Drugs agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20527499
Medicare Participant SinceAugust 26, 2011
Supplier Location145 E Van Dorn AveHolly Springs, MS 38635
Phone(662) 252-2321
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 11

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

DR. HANSON WALKER PHARMD
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2321
KATHRYN COGHLAN ELGIN R.PH.
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2321
BRYAN TAYLOR PHARMD
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2331
DR. AUSTIN VANCE CROCKER PHARMD
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2322
DR. LA'KENDRA BELL PHARMD, RPH
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2321
TYSON DRUGS INC
Pharmacy (Long Term Care Pharmacy)
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2321
MR. ROBERT H LOMENICK RPH
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2446
ASHLEY MILLER PHARM D
Pharmacist
145 E VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-2322

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 Tyson Drugs Inc's NPI number?

The NPI number for Tyson Drugs Inc is 1194441493. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Tyson Drugs Inc Ltc.

Where is Tyson Drugs Inc located?

Tyson Drugs Inc is located at 145 E Van Dorn Ave, Holly Springs, MS 38635. The listed phone number is (662) 252-2321.

What is Tyson Drugs Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Tyson Drugs Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Tyson Drugs accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Tyson Drugs Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2117895) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tyson Drugs Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Avera Health Plans and 24 other insurers list Tyson Drugs Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyson Drugs Inc was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.