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SOUTH STREET PHARMACY
NPI 1306906482
Pharmacy - Community/Retail Pharmacy in Cleveland, MS

Active since December 11, 2006
410 SOUTH ST, CLEVELAND, MS 38732(662) 843-6700 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2018, Sep 20, 2017 (2 updates tracked since 2017).

About South Street Pharmacy NPPES

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

SOUTH STREET PHARMACY (NPI 1306906482) is a healthcare organization registered as a community/retail pharmacy in Cleveland, Mississippi and active in the NPI registry since December 2006. The organization lists Michael Stuart Clark, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1306906482
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTH STREET PHARMACY
Location Address410 SOUTH STCleveland, MS 38732-3450
Mailing AddressPo Box 1748, 410 South StreetCleveland, MS 38732-1748 · (662) 843-6700
Phone(662) 843-6700
Organization SubpartNo
Authorized OfficialMichael Stuart ClarkPharmacist Owner · (662) 843-6700
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 20, 20182 updates tracked since enumeration
✔ NPI 1306906482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacistTaxonomy 183500000X · License 05857 (MS)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
410 SOUTH ST, Cleveland, MS 38732
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Other Identifiers 4

Other2521513MS · Nabp Number
Medicaid04686806MS
Other09058522MS · Medicaid Dme
Medicaid03181784MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

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

MICHAEL STUART CLARK I
Pharmacist
410 SOUTH ST
CLEVELAND, MS 38732
Bolivar County (662) 843-6700

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 South Street Pharmacy's NPI number?

The NPI number for South Street Pharmacy is 1306906482. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is South Street Pharmacy located?

South Street Pharmacy is located at 410 South St, Cleveland, MS 38732. The listed phone number is (662) 843-6700.

What is South Street Pharmacy's specialty?

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

What insurance does South Street Pharmacy accept?

Health plans from Medica and Moda Health Plan, Inc. list South Street Pharmacy 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 South Street Pharmacy was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.