SHILOH APOTHECARY INC
NPI 1396259966
Pharmacy - Community/Retail Pharmacy in Corinth, MS

Q: What is Shiloh Apothecary Inc's NPI number?

The NPI number for Shiloh Apothecary Inc is 1396259966. It was assigned to this organization in the NPPES registry on November 19, 2017.

Q: What is Shiloh Apothecary Inc's specialty?

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

Active since November 19, 2017CLIA 25D2182977 · Waiver

2049 E SHILOH RD, CORINTH, MS 38834(662) 594-1573(662) 594-1628 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2023, Feb 11, 2022, Jan 28, 2022 and 3 more (6 updates tracked since 2017).

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About Shiloh Apothecary Inc NPPES

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

SHILOH APOTHECARY INC (NPI 1396259966) is a healthcare organization registered as a community/retail pharmacy in Corinth, Mississippi and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Raymond Lafayette Mathis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1396259966

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHILOH APOTHECARY INC

Location Address2049 E SHILOH RDCorinth, MS 38834-3726

Mailing Address2049 E Shiloh RdCorinth, MS 38834-3726 · (662) 594-1573 · Fax (662) 594-1628

Phone(662) 594-1573

Fax(662) 594-1628

Organization SubpartNo

Authorized OfficialRaymond Lafayette MathisPresident/owner · (662) 594-1573

Enumeration DateNovember 19, 2017

Last NPPES UpdateJanuary 9, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1396259966 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 · 16600

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

2049 E SHILOH RD, Corinth, MS 38834

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Other Identifiers 1

Medicaid06132758MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 25D2182977

Shiloh Apothecary, Inc · Corinth, MS

Active · expires Apr 27, 2028

CLIA Number25D2182977

Laboratory TypePharmacy

Certificate Effective DateApril 28, 2026

Certificate Expiration DateApril 27, 2028

Laboratory DirectorRaymond L. Mathis

Laboratory Phone(662) 594-1573

Laboratory LocationShiloh Apothecary, Inc2049 E Shiloh Rd, Corinth, MS 38834

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

68 services67 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

62 services61 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Shiloh Apothecary Inc. carries, from the Medicare DMEPOS supplier directory.

Shiloh Apothecary Inc.

DMEPOS supplier · Corinth, MS

⋮

Does not accept Medicare assignment

Shiloh Apothecary Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20455517

Medicare Participant SinceApril 24, 2018

Supplier Location2049 E Shiloh RdCorinth, MS 38834

Phone(662) 594-1573

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

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

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

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 10

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

TEDRIC HIGHT PHARM.D.

Pharmacist