SUPER DRUG
NPI 1487806121
Pharmacy - Community/Retail Pharmacy in Horn Lake, MS

Active since October 14, 2008
1433 GOODMAN RD W, HORN LAKE, MS 38637(662) 280-7455(662) 280-7457 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2020, May 17, 2018 (2 updates tracked since 2018).

About Super Drug NPPES

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

SUPER DRUG (NPI 1487806121) is a healthcare organization registered as a community/retail pharmacy in Horn Lake, Mississippi and active in the NPI registry since October 2008. The organization lists Super Drugs, Owner, as its authorized official.

NPPES Registry Identity

NPI1487806121
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMIDSOUTH MEDICAL SPECIALTIES LLC
Location Address1433 GOODMAN RD WHorn Lake, MS 38637
Mailing AddressPo Box 563Hernando, MS 38632-0563 · (662) 280-7455 · Fax (662) 280-7457
Fax(662) 280-7457
Organization SubpartNo
Authorized OfficialSuper DrugsOwner · (662) 280-7455
Enumeration DateOctober 14, 2008
Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1487806121 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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1433 GOODMAN RD W, Horn Lake, MS 38637

Other Names 1

Doing Business AsSuper Drug

Other Identifiers 3

Medicaid02434788MS
Medicaid1534074TN
Other2117404Pk

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pharmacist
1433 GOODMAN RD W
HORN LAKE, MS 38637
Pharmacy (Community/Retail Pharmacy)
1433 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 Midsouth Medical Specialties LLC's NPI number?

The NPI number for Midsouth Medical Specialties LLC is 1487806121. It was assigned to this organization in the NPPES registry on October 14, 2008. The provider is doing business as Super Drug.

Where is Midsouth Medical Specialties LLC located?

Midsouth Medical Specialties LLC is located at 1433 Goodman Rd W, Horn Lake, MS 38637. The listed phone number is (662) 280-7455.

What is Midsouth Medical Specialties LLC's specialty?

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

What insurance does Midsouth Medical Specialties LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Midsouth Medical Specialties 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 Midsouth Medical Specialties LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.