BOONEVILLE COMMUNITY PHARMACY
NPI 1679651186
Pharmacy - Community/Retail Pharmacy in Booneville, MS

Q: What is Booneville Community Pharmacy Of Msinc's specialty?

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

Active since November 01, 2006

206 N 2ND ST, BOONEVILLE, MS 38829(662) 728-1951(662) 728-1873 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, May 3, 2023 (2 updates tracked since 2023).

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About Booneville Community Pharmacy NPPES

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

BOONEVILLE COMMUNITY PHARMACY (NPI 1679651186) is a healthcare organization registered as a community/retail pharmacy in Booneville, Mississippi and active in the NPI registry since November 2006. The organization lists Tony Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1679651186

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBOONEVILLE COMMUNITY PHARMACY OF MSINC

Location Address206 N 2ND STBooneville, MS 38829-2702

Mailing Address206 N 2nd StBooneville, MS 38829-2702 · (662) 728-1951 · Fax (662) 728-1873

Phone(662) 728-1951

Fax(662) 728-1873

Organization SubpartNo

Authorized OfficialTony SmithOwner · (662) 728-1951

Enumeration DateNovember 1, 2006

Last NPPES UpdateMay 23, 20232 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1679651186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MS · 04785011

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

206 N 2ND ST, Booneville, MS 38829

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Other Names 1

Doing Business AsBooneville Community Pharmacy

Other Identifiers 2

Medicaid00330527MS

Other2520232Ncpdp Provider Identification Number

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Booneville Community Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMississippiEnrollment IDO20140805001058Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

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.

58 services58 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.

34 services34 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.

12 services12 patients

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.

DR. AMIRA REZK SMITH PHARM D

Pharmacist

206 N 2ND ST
BOONEVILLE, MS 38829

Prentiss County (662) 728-1951

DR. BENJAMIN SAND

Pharmacist

206 N 2ND ST
BOONEVILLE, MS 38829

Prentiss County (662) 728-1951

GINGER G TENNISON PHARMD

Pharmacist

206 N 2ND ST
BOONEVILLE, MS 38829

Prentiss County (662) 728-1951

BOONEVILLE COMMUNITY PHARMACY OF MS INC.

Pharmacy (Long Term Care Pharmacy)

206 N 2ND ST
BOONEVILLE, MS 38829

Prentiss County (662) 728-1951

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 Booneville Community Pharmacy Of Msinc's NPI number?

The NPI number for Booneville Community Pharmacy Of Msinc is 1679651186. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Booneville Community Pharmacy.

Where is Booneville Community Pharmacy Of Msinc located?

Booneville Community Pharmacy Of Msinc is located at 206 N 2nd St, Booneville, MS 38829. The listed phone number is (662) 728-1951.

What is Booneville Community Pharmacy Of Msinc's specialty?

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

Is Booneville Community Pharmacy Of Msinc enrolled in Medicare?

Yes. Booneville Community Pharmacy Of Msinc is registered in the Medicare PECOS enrollment system.

When is Booneville Community Pharmacy Of Msinc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Booneville Community Pharmacy Of Msinc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 49 other insurers list Booneville Community Pharmacy Of Msinc 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 Booneville Community Pharmacy Of Msinc was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.