PLAZA PHARMACY INC - NPI 1295894293 - Pharmacy in Pascagoula, MS

Q: What is Plaza Pharmacy Inc's NPI number?

The NPI number for Plaza Pharmacy Inc is 1295894293. It was assigned to this organization in the NPPES registry on December 6, 2006.

Q: What is Plaza Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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About Plaza Pharmacy Inc NPPES

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

PLAZA PHARMACY INC (NPI 1295894293) is a healthcare organization registered as a community/retail pharmacy in Pascagoula, Mississippi and active in the NPI registry since December 2006. The organization lists Kenneth Clark, President, as its authorized official.

NPPES Registry Identity

NPI1295894293

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePLAZA PHARMACY INC

Location Address4211 HOSPITAL ST, STE 104Pascagoula, MS 39581-5320

Mailing Address4211 Hospital St, Ste 104Pascagoula, MS 39581-5320 · (228) 762-1940 · Fax (228) 762-7786

Phone(228) 762-1940

Fax(228) 762-1940

Organization SubpartNo

Authorized OfficialKenneth ClarkPresident · (228) 762-1940

Enumeration DateDecember 6, 2006

Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration

✔ NPI 1295894293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MS · 01129/1.2

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

4211 HOSPITAL ST, Pascagoula, MS 39581

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Other Names 1

Doing Business AsPlaza Pharmacy Inc

Other Identifiers 2

Other2043339Pk

Medicaid0030278MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

TYSHAYLA MIMBES

Case Manager/Care Coordinator