DIAMOND GROVE CENTER PHARMACY
NPI 1558372193
Pharmacy in Louisville, MS
- Organization
- Pharmacy
About DIAMOND GROVE CENTER PHARMACY
This page provides the complete NPI Profile along with additional information for Diamond Grove Center Pharmacy, a provider established in Louisville, Mississippi operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1558372193 assigned on August 2006. The practitioner's primary taxonomy code is 333600000X with license number 03665 (MS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Diamond Grove Center Pharmacy. The authorized official of this NPI record is Patrick Swoopes Pharmd (Ceo)
- NPI
- 1558372193 Verify this NPI
- Provider Legal Name
- DIAMOND GROVE CTR PHARMACY
- Other Organization Name
- DIAMOND GROVE CENTER PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2311 HIGHWAY 15 S LOUISVILLE, MS 39339
- Location Phone
- (662) 779-0119
- Location Fax
- (662) 779-0126
- Mailing Address
- 2311 HIGHWAY 15 S LOUISVILLE, MS 39339
- Mailing Phone
- (662) 779-0119
- Mailing Fax
- (662) 779-0126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2006
- Last Update Date
- 07-15-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 03665
- License State
- MS
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336I0012X | Suppliers | Pharmacy | |
| 2 | 3336L0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2047294 | OTHER (01) | PK | |
| 00330450 | MEDICAID (05) | MS |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LOUISVILLE, MS 39339
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558372193, enumerated as an "organization" on August 10, 2006.
The provider is located at 2311 HIGHWAY 15 S LOUISVILLE, MS 39339 and the phone number is (662) 779-0119.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
