MEDICAL PLAZA ON ALCORN LLC
NPI 1497852602
Pharmacy - Community/Retail Pharmacy in Corinth, MS

Q: What is Medical Plaza On Alcorn LLC's NPI number?

The NPI number for Medical Plaza On Alcorn LLC is 1497852602. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Medical Plaza On Alcorn LLC's specialty?

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

Active since September 20, 2006CLIA 25D2182251 · Waiver

111 ALCORN DR, CORINTH, MS 38834(662) 286-6991(662) 287-8087 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Medical Plaza On Alcorn Llc NPPES

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

MEDICAL PLAZA ON ALCORN LLC (NPI 1497852602) is a healthcare organization registered as a community/retail pharmacy in Corinth, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Rick W Quinn, Rph, as its authorized official.

NPPES Registry Identity

NPI1497852602

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEDICAL PLAZA ON ALCORN LLC

Location Address111 ALCORN DRCorinth, MS 38834-9359

Mailing Address111 Alcorn DrCorinth, MS 38834-9359 · (662) 286-6991 · Fax (662) 287-8087

Phone(662) 286-6991

Fax(662) 287-8087

Organization SubpartNo

Authorized OfficialRick W QuinnRph · (662) 286-6991

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 1, 2015

✔ NPI 1497852602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MS · 0313501.1

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.

111 ALCORN DR, Corinth, MS 38834

Open in Google Maps ↗

Other Identifiers 3

Medicaid00095265MS

Medicaid00440678MS

Medicare NSC0327840001MS

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 25D2182251

Medical Plaza On Alcorn LLC · Corinth, MS

Active · expires Apr 16, 2028

CLIA Number25D2182251

Laboratory TypePharmacy

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorAndy Null

Laboratory Phone(662) 286-6991

Laboratory LocationMedical Plaza On Alcorn LLC111 Alcorn Dr, 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 5

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.

222 services219 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.

119 services119 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

89 services88 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

33 services33 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

33 services33 patients

Other Providers at the Same Location NPPES 13

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

DANIEL WAYNE HINTON PHARM.D.

Pharmacist