SUMRALL DRUG STORE LONG TERM CARE
NPI 1366004731
Pharmacy - Long Term Care Pharmacy in Sumrall, MS

Active since July 05, 2019
1109 HWY 42, SUMRALL, MS 39482(601) 758-4243(601) 758-4999 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2020, Jul 5, 2019 (2 updates tracked since 2019).

About Sumrall Drug Store Long Term Care NPPES

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

SUMRALL DRUG STORE LONG TERM CARE (NPI 1366004731) is a healthcare organization registered as a long term care pharmacy in Sumrall, Mississippi and active in the NPI registry since July 2019. The organization lists Tasha F Haden, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1366004731
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSUMRALL DRUG STORE LLC
Location Address1109 HWY 42Sumrall, MS 39482
Mailing AddressPo Box 120Sumrall, MS 39482-0120 · (601) 758-4243 · Fax (601) 758-4999
Fax(601) 758-4999
Organization SubpartNo
Authorized OfficialTasha F HadenPharmacist/owner · (601) 758-4243
Enumeration DateJuly 5, 2019
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1366004731 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.
1109 HWY 42, Sumrall, MS 39482

Other Names 1

Doing Business AsSumrall Drug Store Long Term Care

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Pharmacy (Community/Retail Pharmacy)
1109 HWY 42
SUMRALL, MS 39482
Pharmacy (Community/Retail Pharmacy)
1109 HWY 42
SUMRALL, MS 39482
Pharmacist
1109 HWY 42
SUMRALL, MS 39482
Pharmacist
1109 HWY 42
SUMRALL, MS 39482

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 Sumrall Drug Store LLC's NPI number?

The NPI number for Sumrall Drug Store LLC is 1366004731. It was assigned to this organization in the NPPES registry on July 5, 2019. The provider is doing business as Sumrall Drug Store Long Term Care.

Where is Sumrall Drug Store LLC located?

Sumrall Drug Store LLC is located at 1109 Hwy 42, Sumrall, MS 39482. The listed phone number is (601) 758-4243.

What is Sumrall Drug Store LLC's specialty?

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

What insurance does Sumrall Drug Store LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 13 other insurers list Sumrall Drug Store LLC 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 Sumrall Drug Store LLC was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.