HORN LAKE FAMILY PRACTICE
NPI 1356718233
Pharmacy - Community/Retail Pharmacy in Horn Lake, MS

Active since August 27, 2015CLIA 25D0937074 · Certificate of Compliance
3102 GOODMAN RD W, HORN LAKE, MS 38637(662) 342-6677(662) 342-0203 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Horn Lake Family Practice NPPES

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

HORN LAKE FAMILY PRACTICE (NPI 1356718233) is a healthcare organization registered as a community/retail pharmacy in Horn Lake, Mississippi and active in the NPI registry since August 2015. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2027 and lists Sheetal Sharma, Member, as its authorized official.

NPPES Registry Identity

NPI1356718233
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHORN LAKE FAMILY PRACTICE
Location Address3102 GOODMAN RD WHorn Lake, MS 38637-1172
Mailing Address1019 Government St, Suite FOcean Springs, MS 39564-3860 · (228) 447-3823 · Fax (228) 447-3812
Fax(662) 342-0203
Organization SubpartNo
Authorized OfficialSheetal SharmaMember · (662) 342-6677
Enumeration DateAugust 27, 2015
Last NPPES UpdateFebruary 18, 2016
NPI 1356718233 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 · 14467
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3102 GOODMAN RD W, Horn Lake, MS 38637

Other Names 1

Doing Business AsHorn Lake Family Practice

Other Identifiers 1

Other2153358Pk

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 Compliance 25D0937074

Horn Lake Family Practice · Horn Lake, MS
Active · expires Mar 8, 2027
CLIA Number25D0937074
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorAchin Sharma
Laboratory Phone(662) 342-6677
Laboratory LocationHorn Lake Family Practice3102 Goodman Road, Horn Lake, MS 38637
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
3102 GOODMAN RD W
HORN LAKE, MS 38637
Family Medicine
3102 GOODMAN RD W
HORN LAKE, MS 38637
Family Medicine (Adolescent Medicine)
3102 GOODMAN RD W
HORN LAKE, MS 38637
Emergency Medicine
3102 GOODMAN RD W
HORN LAKE, MS 38637
Nurse Practitioner (Family)
3102 GOODMAN RD W
HORN LAKE, MS 38637

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 Horn Lake Family Practice's NPI number?

The NPI number for Horn Lake Family Practice is 1356718233. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Horn Lake Family Practice located?

Horn Lake Family Practice is located at 3102 Goodman Rd W, Horn Lake, MS 38637. The listed phone number is (662) 342-6677.

What is Horn Lake Family Practice's specialty?

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

Does Horn Lake Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0937074) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Horn Lake Family Practice was last updated on February 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.