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THIRTEENTH AVENUE PHARMACY
NPI 1689898579
Pharmacy - Community/Retail Pharmacy in Laurel, MS

Active since April 12, 2007
216 S 13TH AVE, LAUREL, MS 39440(601) 428-7257 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thirteenth Avenue Pharmacy NPPES

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

THIRTEENTH AVENUE PHARMACY (NPI 1689898579) is a healthcare organization registered as a community/retail pharmacy in Laurel, Mississippi and active in the NPI registry since April 2007. The organization lists Kyle Mauldin, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1689898579
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHIRTEENTH AVENUE PHARMACY
Location Address216 S 13TH AVELaurel, MS 39440-4226
Mailing Address216 S 13th AveLaurel, MS 39440-4226 · (601) 428-7257
Phone(601) 428-7257
Organization SubpartNo
Authorized OfficialKyle MauldinOwner Pharmacist · (601) 428-7257
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689898579 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 · 01527
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.
216 S 13TH AVE, Laurel, MS 39440
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Other Identifiers 1

Medicaid00330499MS

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.

THIRTEENTH AVENUE PHARMACY
Pharmacy (Community/Retail Pharmacy)
216 S 13TH AVE
LAUREL, MS 39440
Jones County (601) 428-7257
KYLE AARON MAULDIN
Pharmacist
216 S 13TH AVE
LAUREL, MS 39440
Jones County (601) 428-7257

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 Thirteenth Avenue Pharmacy's NPI number?

The NPI number for Thirteenth Avenue Pharmacy is 1689898579. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Thirteenth Avenue Pharmacy located?

Thirteenth Avenue Pharmacy is located at 216 S 13th Ave, Laurel, MS 39440. The listed phone number is (601) 428-7257.

What is Thirteenth Avenue Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Thirteenth Avenue Pharmacy was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.